How To Use CPT Code 63620

CPT 63620 describes a procedure known as stereotactic radiosurgery, which involves the use of externally generated ionized radiation to destroy a single spinal lesion. This article will provide an overview of CPT code 63620, including its official description, the procedure itself, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of when to use this code.

1. What is CPT Code 63620?

CPT 63620 is a code used to describe a specific procedure called stereotactic radiosurgery. This procedure utilizes ionized radiation to destroy a single spinal lesion. It is a noninvasive neurosurgical technique that does not require creating an incision in the spine. The provider uses a computer-controlled robotic arm to focus radiation on the target area of the spinal cord, effectively destroying the lesion.

2. Official Description

The official description of CPT code 63620 is: ‘Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion.’ It is important to note that this code should not be reported more than once per course of treatment.

3. Procedure

1. After appropriate patient preparation and anesthesia, the provider identifies the target area of the spinal cord using the stereotactic method.
2. Previously taken CT or MRI images are imported into a computer system, which generates three-dimensional images of the spine.
3. Using a robotic arm controlled by the computer, the provider focuses radiation on the target area to destroy the spinal lesion.
4. This procedure does not require creating an incision in the spine, making it noninvasive.

4. Qualifying circumstances

CPT 63620 is used when a patient has a single spinal lesion that requires treatment using stereotactic radiosurgery. The provider must use ionized radiation to destroy the lesion. It is important to note that this code should not be reported more than once per course of treatment.

5. When to use CPT code 63620

CPT code 63620 should be used when a provider performs stereotactic radiosurgery to treat a single spinal lesion. It is important to follow the guidelines and not report this code more than once per course of treatment.

6. Documentation requirements

To support a claim for CPT code 63620, the provider must document the following information:

• Confirmation of a single spinal lesion requiring treatment
• Details of the stereotactic radiosurgery procedure performed
• Documentation of the use of ionized radiation
• Any additional relevant information regarding the procedure

7. Billing guidelines

When billing for CPT code 63620, ensure that the procedure performed meets the criteria outlined in the official description. It is important not to report this code more than once per course of treatment. Additionally, be aware of any additional guidelines or modifiers that may be required for accurate billing.

8. Historical information

CPT code 63620 was added to the Current Procedural Terminology system on January 1, 2009. There have been no updates or changes to the code since its addition.

9. Examples

1. A patient with a single spinal lesion undergoes stereotactic radiosurgery using ionized radiation to destroy the lesion.
2. A provider performs stereotactic radiosurgery on a patient with a spinal lesion, utilizing a linear accelerator to focus radiation on the target area.
3. Using a particle beam, a provider performs stereotactic radiosurgery on a patient with a single spinal lesion, effectively destroying the lesion.
4. A patient with a spinal lesion undergoes stereotactic radiosurgery, with the provider utilizing gamma ray radiation to target and destroy the lesion.
5. Using a computer-controlled robotic arm, a provider performs stereotactic radiosurgery on a patient with a single spinal lesion, successfully eliminating the lesion.
6. A provider utilizes stereotactic radiosurgery to treat a patient with a spinal lesion, employing a combination of particle beam and gamma ray radiation.
7. Using a linear accelerator, a provider performs stereotactic radiosurgery on a patient with a single spinal lesion, effectively destroying the lesion.
8. A patient with a spinal lesion undergoes stereotactic radiosurgery, with the provider utilizing ionized radiation to target and eliminate the lesion.
9. A provider performs stereotactic radiosurgery on a patient with a single spinal lesion, utilizing a combination of gamma ray and particle beam radiation.
10. Using a computer-controlled robotic arm, a provider performs stereotactic radiosurgery on a patient with a spinal lesion, successfully eliminating the lesion using ionized radiation.