What is CPT Code 63056?: Understanding Spinal Decompression Surgery






What is CPT Code 63056?: Understanding Spinal Decompression Surgery

CPT code 63056 refers to a spinal surgery procedure that relieves pressure on nerves in the lower back. CPT 63056 represents “Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; lumbar (including transfacet, or lateral extraforaminal approach) (eg, far lateral herniated intervertebral disc).”

Procedure Explanation:

This surgery involves creating space in the spinal area to reduce pressure on the spinal cord or nerves. This is often necessary when someone has back problems like a slipped disc. The procedure focuses on a single segment of the spine in the lower back area. It may include different approaches depending on the specific problem, such as accessing the spine from the side. The procedure focuses on one section, so if more sections need treatment, additional procedures might be necessary.

Common Names:

  1. Transpedicular Decompression Surgery
  2. Lumbar Spine Decompression
  3. Single Segment Nerve Relief

Relative Value Units (RVU):

The RVUs associated with this code are 21.86.

How This Procedure Appears:

  • Operating Room Schedule Name: Spinal Decompression Surgery – Lumbar
  • Surgical Consent Form Name: Decompression of Lumbar Nerves

Typical Patients and Diagnoses:

This procedure is commonly performed on patients suffering from significant back pain or nerve issues due to conditions like herniated discs in the lower back. For example, someone who experiences persistent leg pain due to a compressed nerve in their spine might need this surgery. It’s typically recommended for individuals who haven’t found relief from other treatments like physical therapy or medication.

Associated ICD-10 Codes:

  • M51.26: This code refers to a herniated disc in the lower back that is causing leg pain.
  • M48.062: This code identifies spinal stenosis, which is a narrowing in the lower back part of the spine.
  • M43.16: This code is used for spondylolisthesis, a condition where a vertebra has slipped out of position.

Summary

In summary, code 63056 describes a spinal surgery to alleviate pressure on nerves in a specific section of the lower back. Typical ICD-10 codes associated with 63056 include M51.26 (leg pain due to a herniated disc) and M48.062 (spinal narrowing).


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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