Summary & Overview
CPT 6080F: Clinical Performance Measure
CPT code 6080F is listed without an accompanying descriptive summary in the source material. As a CPT-format code, it represents an item within the Current Procedural Terminology code set and is relevant as a clinical performance or quality measure entry. Nationally, CPT codes classified as performance measures are used by payers and quality programs to track care delivery, reporting, and compliance, making them important for providers, health systems, and payers involved in value-based arrangements.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of what the code represents, the likely clinical context and service type when available, and a summary of the aspects typically reported for performance-measure codes such as benchmarking, reporting expectations, and policy considerations. When specific data elements are missing from the source, this publication notes their absence and presents the expected areas of interest: clinical context, common sites of service, and payer reporting practices. The content is national in scope and frames 6080F within the broader uses of CPT performance measures for quality measurement and payer reporting.
Billing Code Overview
CPT code 6080F has no summary available in the source description. Based on the code label, this entry represents a clinical performance or quality measure within the CPT code set. Service type: Data not available in the input. Typical site of service: Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult with a spinal tumor, metastatic disease to the vertebrae, or symptomatic intradural pathology who requires surgical intervention to decompress neural elements and obtain tissue for diagnosis. The clinical workflow begins with outpatient evaluation by a neurosurgeon or orthopedic spine surgeon after imaging (MRI ± CT) demonstrates a lesion amenable to surgical management. Preoperative workup includes history, neurologic exam documenting deficits, informed consent discussing risks (bleeding, infection, neurologic worsening), and optimization of medical comorbidities. In the operating room under general anesthesia, the surgical team performs a laminectomy or other spinal approach to access the lesion; intraoperative microscopy and neurophysiologic monitoring are commonly used. Tissue is obtained for pathologic examination, hemostasis achieved, and the wound closed; postoperative care includes neurologic checks, pain control, and coordination of pathology results to guide further oncologic or medical therapy. Typical site of service is an inpatient hospital operating room or ambulatory surgical center for stable patients with limited comorbidity. Providers commonly involved include neurosurgeons, orthopedic spine surgeons, anesthesiologists, and perioperative nursing staff.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
25 | Significant, separately identifiable evaluation and management service by the same physician on the day of a procedure | Use when a distinct E/M visit is provided on the same day as the surgical procedure and documented separately |