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CPT 63273: Sacral Laminectomy with Intradural Lesion Excision
CPT code 63273 represents a sacral laminectomy with excision of an intradural spinal cord lesion. This code captures a complex neurosurgical procedure performed to remove tumors or other pathological tissue located within the dura of the sacral spinal canal. The procedure is significant nationally because it involves high-resource operative care, specialized surgical skill, and inpatient perioperative management, factors that affect coding, reimbursement, and utilization oversight.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will gain a concise understanding of the clinical intent of the code, typical site-of-service implications, and the kinds of benchmarks and policy considerations commonly associated with high-complexity spinal surgery codes. The publication outlines relevant utilization benchmarks and payer policy themes, highlights documentation elements that support code assignment, and summarizes clinical context such as indications and procedural scope.
This executive summary is intended for a national audience of clinicians, coding professionals, and payer analysts seeking a clear reference for CPT code 63273 and the operational and policy issues that accompany intradural spinal surgery coding.
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Billing Code Overview
CPT code 63273 describes a surgical procedure in which the provider removes part of the sacral lamina and excises an intradural lesion of the spinal cord. "Intradural" indicates the lesion is located inside the dura mater, the tough outer membrane surrounding the central nervous system.
Service type: Surgical — spinal intradural tumor resection with sacral laminectomy
Typical site of service: Hospital operating room or inpatient surgical unit, reflecting the invasive nature of the procedure and the need for operative facilities and postoperative monitoring.