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CPT 63304: Excision of Cervical Vertebral Body for Intradural Lesion
CPT code 63304 denotes a surgical procedure involving partial or complete excision of the main body of a single cervical vertebra to remove an intradural lesion. The code captures a complex spine operation focused on direct access to intradural pathology in the cervical region and is relevant to neurosurgeons, orthopedic spine surgeons, hospitals, and payers managing high-acuity surgical care. Nationally, this code is significant because it reflects resource-intensive care, perioperative risk, and implications for surgical authorization and bundled payment arrangements.
Key payers referenced in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical context, common sites of service, and the procedural focus of the code. The publication also provides benchmarking context where available, highlights payer coverage considerations and authorization patterns, and summarizes relevant policy updates that affect payment and preauthorization for complex cervical spine procedures. Clinicians and administrators will gain a concise reference for coding use, common billing scenarios, and the types of documentation frequently associated with claims for this procedure.
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Billing Code Overview
CPT code 63304 describes a partial or complete excision of the main body of a single vertebra to remove an intradural lesion within the cervical spine. This procedure involves surgical bone removal from a cervical vertebra to access and excise an intradural pathology.
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Service type: Surgical excision of cervical vertebral body for intradural lesion
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Typical site of service: Inpatient or outpatient hospital operating room, or ambulatory surgical center for complex spine surgery depending on clinical needs and perioperative care
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