New CPT Codes for Reporting Spine Surgical Procedures
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New CPT Codes for Reporting Spine Surgical Procedures
Multiple new Category I CPT codes for reporting spine surgical procedures go into effect on January 1, 2022.
- New CPT codes 63052 and 63053 describe decompression when done with PLIF or TLIF procedures (22630/32 and 22634/36). 63052 describes the first level decompression and 63053 describes additional levels of decompression.
- Two new CPT codes, 64628 and 64629, describe ablation of the basivertebral nerve first level and each additional level, respectively.
ISASS was heavily involved in the creation of these new code descriptors and believes both sets will allow more accurate billing and reimbursement for spine surgical procedures.
The table below shows the full descriptors for each of the four new CPT codes.
CPT Code Descriptor 63052 Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s] [eg, spinal or lateral recess stenosis]) during posterior interbody arthrodesis; lumbar; single vertebral segment 63053 Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina, and/or nerve root[s] [eg, spinal or lateral recess stenosis]) during posterior interbody arthrodesis; lumbar; each additional segment 64628 Thermal destruction of intraosseous basivertebral nerve, inclusive of all imaging guidance; first two vertebral bodies; lumbar or sacral 64629 Thermal destruction of intraosseous basivertebral nerve, inclusive of all imaging guidance; each additional vertebral body; lumbar or sacral