CPT® Code 0275T

Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, under indirect image guidance (eg, fluoroscopic, CT), single or multiple levels, unilateral or bilateral; lumbar

A percutaneous laminotomy or laminectomy is a minimally invasive surgical procedure aimed at decompressing neural elements in the lumbar region of the spine. This procedure is performed through an interlaminar approach, which involves accessing the spinal canal between the laminae of adjacent vertebrae. The primary goal of this intervention is to relieve pressure on the spinal nerves, which may be caused by conditions such as herniated discs, bone spurs, or thickened ligaments. The procedure can be performed with or without additional techniques such as ligamentous resection, discectomy, facetectomy, or foraminotomy, depending on the specific needs of the patient. To ensure precision, the procedure is conducted under indirect image guidance, utilizing technologies such as fluoroscopy or computed tomography (CT). This imaging support allows the surgeon to visualize the anatomy of the spine accurately and to navigate the instruments safely to the target area. The use of percutaneous devices facilitates access to the interlaminar space while minimizing tissue disruption. Contrast material may be injected into the epidural space during the procedure to enhance visualization of the surrounding structures and to assess the effectiveness of the decompression achieved. Overall, this technique is designed to provide relief from pain and neurological symptoms while promoting a quicker recovery compared to traditional open surgical methods.