How To Use CPT Code 63276
CPT 63276 describes the excision of an extradural growth of the spinal cord through a laminectomy procedure in the thoracic region. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.
1. What is CPT Code 63276?
CPT 63276 can be used to describe the excision of an extradural growth of the spinal cord through a laminectomy procedure in the thoracic region. This code is used when a provider removes a portion of the thoracic vertebra, known as the lamina, to gain access to the spinal cord and excise the abnormal growth. A biopsy of the lesion may also be taken for testing.
2. Official Description
The official description of CPT code 63276 is: ‘Laminectomy for biopsy/excision of intraspinal neoplasm; extradural, thoracic.’
3. Procedure
- The provider makes an incision over the selected thoracic vertebra and removes a portion of the lamina, the posterior arch of the vertebra that covers the spinal canal.
- After retracting the soft tissues and adjacent muscles, the provider locates the abnormal growth on the dura, the outer covering of the spinal cord.
- A biopsy of the spinal lesion is taken and sent to the laboratory for testing.
- The provider then proceeds to excise the entire lesion and drains any excess fluid or blood using a drain.
- The wound is closed in layers and covered with a sterile dressing.
4. Qualifying circumstances
CPT 63276 is performed when there is an extradural growth of the spinal cord that requires excision through a laminectomy procedure in the thoracic region. The procedure is typically performed by a provider who is appropriately trained and qualified to perform spinal surgeries. The patient must have a documented diagnosis of an intraspinal neoplasm, and the procedure must be performed in the thoracic region.
5. When to use CPT code 63276
CPT code 63276 should be used when a provider performs a laminectomy procedure to excise an extradural growth of the spinal cord in the thoracic region. It is important to ensure that the procedure meets the specific criteria outlined in the code description. If the procedure is performed in a different region of the spine or involves a different type of growth, a different CPT code should be used.
6. Documentation requirements
To support a claim for CPT 63276, the provider must document the following information:
- Patient’s diagnosis of an intraspinal neoplasm
- Details of the laminectomy procedure performed, including the specific thoracic vertebra involved
- Description of the extradural growth and any findings from the biopsy
- Documentation of any additional procedures performed, such as drainage of fluid or blood
- Date of the procedure
- Signature of the performing provider
7. Billing guidelines
When billing for CPT 63276, ensure that the procedure meets the specific criteria outlined in the code description. It is important to accurately document the details of the procedure and any additional services provided. CPT code 63276 should not be reported with other codes that describe similar procedures or services. It is important to review the billing guidelines and requirements of the specific payer to ensure proper reimbursement.
8. Historical information
CPT 63276 was added to the Current Procedural Terminology system on January 1, 1990. In 2017, it was added to the Inpatient Only (IPO) list for Medicare reimbursement.
9. Examples
- A provider performs a laminectomy procedure to excise an extradural growth of the spinal cord in the thoracic region for a patient with a diagnosed intraspinal neoplasm.
- During the procedure, the provider takes a biopsy of the spinal lesion for testing and excises the entire growth.
- After the procedure, the provider drains any excess fluid or blood and closes the wound.
- The patient’s diagnosis, details of the procedure, and any additional findings are accurately documented.
- The claim is submitted with CPT code 63276 for reimbursement.
