What is CPT Code 63030?: Understanding Laminotomy for Back Pain Relief






What is CPT Code 63030?: Understanding Laminotomy for Back Pain Relief

CPT code 63030 refers to a back surgery performed to relieve pressure on nerves by removing part of a small section of the backbone. CPT 63030 represents “Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar.”

Procedure Explanation:

This surgical procedure involves removing a small piece of the spine to take pressure off nerves that are being pinched. Sometimes, the surgeon also trims other parts around the nerves to make more space. This can help relieve pain or numbness. The surgery does not address more than one area; it focuses on just one spot in the lower back.

Common Names:

  1. Laminotomy
  2. Hemilaminectomy
  3. Decompression Surgery

Relative Value Units (RVU):

The RVUs associated with this code are 12.0.

How This Procedure Appears:

  • Operating Room Schedule Name: Lumbar laminotomy with nerve decompression
  • Surgical Consent Form Name: Lumbar spine surgery for nerve relief

Typical Patients and Diagnoses:

This surgery is often recommended for people who have lower back pain because of a slipped or herniated disc pressing on their nerves. Many patients experience pain, tingling, or weakness in their legs, which could be caused by sitting too long, getting injured, or simply growing older. For example, someone who has trouble walking distances because of leg pain might be a candidate for this operation.

Associated ICD-10 Codes:

  • M51.26: This code represents a herniated disc in the lower back which is pressing on nerves, causing discomfort or pain.
  • M48.06: This code is used when the patient has spinal stenosis in the lower back, meaning that the space around the spinal cord has narrowed.
  • M54.16: This code indicates sciatic pain that travels down the leg from the lower back, often due to nerve pressure.

Summary

In summary, code 63030 describes a surgical procedure that involves removing part of a bone in the lower back to help reduce nerve pressure and pain. Typical ICD-10 codes associated with 63030 include M51.26 (herniated disc in the lower back with nerve pressure) and M48.06 (spinal stenosis in the lower back).


Disclaimer
This post is for informational purposes only and is not a substitute for medical advice. “CPT” and CPT Codes are registered trademarks of the American Medical Association. HCPCS codes are managed by Medicare and are not subject to copyright.


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