CPT® Code 62268

A percutaneous aspiration of a spinal cord cyst or syrinx, identified by CPT® Code 62268, is a minimally invasive procedure aimed at addressing a fluid-filled cavity within the spinal cord. This cavity, known as a cyst or syrinx, is often referred to as syringomyelia. It occurs when cerebrospinal fluid (CSF), which typically circulates around the spinal cord, becomes trapped within a small cavity in the spinal canal. Over time, the presence of this cyst or syrinx can lead to an increase in size, potentially causing damage to the spinal cord itself. This damage may manifest as various symptoms, including pain, weakness, and stiffness in the back and/or extremities. During the procedure, the skin at the designated puncture site is first cleansed to minimize the risk of infection. A local anesthetic is then administered to ensure patient comfort during the aspiration process. Following this, a needle is carefully inserted into the fluid-filled sac, guided by imaging techniques that are reported separately. The primary goal of this procedure is to aspirate, or remove, the fluid from the cyst or syrinx. The physician may reposition the needle as necessary to ensure complete evacuation of the fluid. Once the desired amount of fluid has been aspirated, the needle is withdrawn, concluding the procedure. This intervention is crucial for alleviating symptoms and preventing further complications associated with the enlargement of the cyst or syrinx.