CPT code 63082 is for a cervical vertebral corpectomy, a procedure involving partial or complete removal of a vertebral body to relieve spinal cord pressure.
CPT code 63082 is used to describe a surgical procedure involving a vertebral corpectomy, which is the partial or complete removal of a vertebral body. This procedure is performed using an anterior approach, meaning the surgeon accesses the spine from the front of the body. The primary goal of this surgery is to decompress the spinal cord and/or nerve roots, alleviating pressure that may be causing pain or neurological symptoms. Specifically, this code applies to the cervical region of the spine, which is the neck area. It is important to note that CPT code 63082 is an add-on code, meaning it is used in conjunction with a primary procedure code to indicate that an additional segment of the cervical spine is being treated. This code should not be used as a standalone code but rather listed separately to account for the extra work involved in addressing each additional segment beyond the primary procedure.
For CPT code 63082, the following modifiers may be applicable:
1. Modifier 51 - Multiple Procedures: This modifier is used when multiple procedures are performed during the same surgical session. Since CPT 63082 is an add-on code, it is typically exempt from Modifier 51, but it's important to verify payer-specific guidelines.
2. Modifier 59 - Distinct Procedural Service: This modifier is used to indicate that a procedure or service was distinct or independent from other services performed on the same day. It may be necessary if there are other procedures that could be considered inclusive.
3. Modifier 62 - Two Surgeons: If two surgeons are required to perform distinct parts of the procedure, this modifier may be used to indicate the collaborative effort.
4. Modifier 80 - Assistant Surgeon: This modifier is used when an assistant surgeon is required for the procedure.
5. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available): Similar to Modifier 80, but specifically used when a qualified resident is not available.
6. Modifier AS - Physician Assistant, Nurse Practitioner, or Clinical Nurse Specialist Services for Assistant at Surgery: This modifier is used when a non-physician practitioner assists in the surgery.
Each modifier should be used in accordance with payer-specific guidelines and documentation should support the necessity of each modifier applied.
The CPT code 63082 is subject to reimbursement considerations under Medicare, specifically through the Medicare Physician Fee Schedule (MPFS). The MPFS is a comprehensive listing of fees used by Medicare to reimburse physicians and other healthcare providers for services rendered. Whether CPT code 63082 is reimbursed by Medicare depends on several factors, including the specific guidelines and policies set forth by the Medicare Administrative Contractor (MAC) that services your geographic region. MACs are responsible for processing Medicare claims and have the authority to make determinations on coverage and reimbursement for specific procedures. Therefore, it is essential for healthcare providers to consult the local MAC for the most accurate and up-to-date information regarding the reimbursement status of CPT code 63082.
Discover the power of MD Clarity's RevFind software to ensure you're receiving the full reimbursement you deserve. With the ability to read your contracts and detect underpayments down to the CPT code level, including specific codes like 63082, RevFind provides unparalleled accuracy and insight. Schedule a demo today to see how RevFind can help you identify discrepancies by individual payer and optimize your revenue cycle management.
Get paid in full by bringing clarity to your revenue cycle
Subscribe to the
Healthcare Clarified newsletter
Get the latest insights on RCM and healthcare policy in your inbox
