Intradural Neurolysis of Spinal Cord with Laminectomy for Tumor Removal

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February 15, 2018

Question:
One of our neurosurgeons did a thoracic laminectomy and removal of intradural, intramedullary tumor. He says he spent a lot of time on intradural neurolysis of thoracic cord to remove the tumor. Is there a CPT code I am not finding for this neurolysis or would we go the route of 63286 with 22 modifier?

Answer:
There is not a separate CPT code for the service you describe. This is included in your primary procedure code, 63286, because the procedure code descriptor says “intradural, intramedullary.”

*This response is based on the best information available as of 02/15/18.

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