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CPT 63055: Transpedicular Repair of Thoracic Disc, Decompression
CPT code 63055 covers a surgical transpedicular repair of a bulging thoracic disc performed without manipulation of the spinal cord. This targeted decompression approach relieves pressure on the spinal cord, cauda equina, or nerve roots by accessing the disc through the pedicle of a thoracic vertebra. The code is relevant nationally as thoracic disc disease, while less common than cervical or lumbar disease, can produce significant myelopathic or radicular symptoms that require operative management.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find clinical context for when the procedure is used, typical sites of service, and the common billing considerations associated with this surgical spine code. The publication outlines benchmarks and payment policy context where available, highlights coding relationships to related spine procedures, and summarizes common modifier usage patterns. Data not available in the input is noted when specific payer rates, ICD-10 pairings, and associated taxonomies are not provided.
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Billing Code Overview
CPT code 63055 describes a transpedicular approach to repair a bulging thoracic intervertebral disc without manipulation of the spinal cord. The procedure accesses the disc through the side of the pedicle of a thoracic vertebra to relieve pressure on the spinal cord, cauda equina, or nerve roots.
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Service type: Surgical decompression of the thoracic spine via a transpedicular approach
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Typical site of service: Inpatient hospital or outpatient hospital operating room, depending on clinical need and complexity