How To Use CPT Code 63282

CPT 63282 describes a specific procedure for the excision of an intradural, extramedullary growth in the lumbar region of the spinal cord. This article will provide an overview of CPT code 63282, including its official description, the procedure itself, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 63282?

CPT 63282 is a code used to describe a surgical procedure that involves the removal of a portion of the lumbar vertebra, known as the lamina, and the excision of an intradural, extramedullary growth in the spinal cord. This procedure is performed to obtain a biopsy of the lesion and to treat the patient’s condition. It is important to note that CPT code 63282 specifically refers to intradural, extramedullary growths in the lumbar region of the spinal cord.

2. Official Description

The official description of CPT code 63282 is: ‘Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, extramedullary, lumbar.’ This code is used when a provider performs a laminectomy to remove a portion of the lumbar vertebra and excises an intradural, extramedullary growth in the lumbar region of the spinal cord.

3. Procedure

1. During the procedure, the provider makes an incision over the selected lumbar vertebra and removes a portion of the lamina, which is the posterior arch of the vertebra that covers the spinal canal.
2. Next, the provider accesses the spinal cord by retracting the soft tissues and adjacent muscles.
3. The provider then incises the dura, the outer covering of the spinal cord, and locates the abnormal growth, which is outside the spinal cord but within the dural covering.
4. A biopsy of the spinal lesion is taken and sent to the laboratory for testing.
5. After obtaining the biopsy, the provider proceeds to excise the entire tumor and drains any excess fluid or blood using a drain.
6. The wound is closed in layers, and a sterile dressing is applied to cover it.

4. Qualifying circumstances

CPT code 63282 is used for patients who require a laminectomy for the biopsy or excision of an intradural, extramedullary growth in the lumbar region of the spinal cord. The procedure is typically performed on patients with specific conditions or symptoms that indicate the presence of such a growth. It is important to note that this code specifically applies to intradural, extramedullary growths in the lumbar region.

5. When to use CPT code 63282

CPT code 63282 should be used when a provider performs a laminectomy for the biopsy or excision of an intradural, extramedullary growth in the lumbar region of the spinal cord. It is important to ensure that the procedure meets the specific criteria outlined in the code description, including the location of the growth and the need for a laminectomy.

6. Documentation requirements

To support a claim for CPT code 63282, the provider must document the following information:

• Patient’s diagnosis and the need for the laminectomy
• Details of the procedure, including the specific lumbar vertebra involved
• Documentation of the intradural, extramedullary growth and its location
• Description of the biopsy and excision performed
• Any additional procedures or interventions performed during the same session
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT code 63282, it is important to ensure that the procedure meets the specific criteria outlined in the code description. The provider should also follow any additional billing guidelines provided by the payer. It is important to note that CPT code 63282 may not be reported with certain other codes, so it is essential to review the billing guidelines and consult with the payer if necessary.

8. Historical information

CPT code 63282 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 billing purposes. There have been no other updates or changes to the code since its addition.

9. Examples

1. A patient presents with symptoms of lower back pain and radiating leg pain. The provider performs a laminectomy for the excision of an intradural, extramedullary growth in the lumbar region of the spinal cord.
2. A patient is diagnosed with a spinal cord tumor in the lumbar region. The provider performs a laminectomy for the biopsy and excision of the tumor.
3. A patient undergoes a laminectomy for the excision of an intradural, extramedullary growth in the lumbar region of the spinal cord, which was causing neurological symptoms.
4. A patient with a history of spinal cord injury develops an intradural, extramedullary growth in the lumbar region. The provider performs a laminectomy for the excision of the growth.
5. A patient presents with progressive weakness and numbness in the lower extremities. The provider performs a laminectomy for the biopsy and excision of an intradural, extramedullary growth in the lumbar region of the spinal cord.