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CPT 63035: Laminotomy with Nerve Root Decompression, Additional Interspace
CPT code 63035 denotes an additional-level laminotomy with nerve root decompression and may involve partial facetectomy, foraminotomy, or removal of a herniated disc. This surgical procedure, performed via open or endoscopic approaches, is used to relieve radicular compression in the cervical or lumbar spine and is a common adjunct when multilevel decompression is required.
Nationally, CPT code 63035 is relevant to hospital-operated operating rooms, ambulatory surgery centers, and inpatient surgical services where spine surgery is delivered. Major payers included in this analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Payer coverage policies, prior authorization requirements, and site-of-service payment differentials influence coding, claim submission, and utilization patterns for this code.
Readers will find a concise overview of clinical intent and typical settings for use, payer coverage scope, and the billing context for additional-level laminotomy procedures. The publication summarizes benchmarking points, summarizes relevant policy considerations that affect coding and reimbursement, and provides clinical context to support accurate claim reporting for CPT code 63035. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 63035 describes a laminotomy of each additional cervical or lumbar interspace with decompression of the nerve root(s). The procedure includes a partial facetectomy, foraminotomy, and/or excision of a herniated intervertebral disc, and covers both open and endoscopic approaches.
Service type: Spinal decompression/laminotomy for nerve root decompression
Typical site of service: Hospital inpatient or outpatient surgical center, or ambulatory surgical facility, depending on clinical complexity and payer authorization.