CPT® Code 63020

Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical

A laminotomy, also referred to as a hemilaminectomy, is a surgical procedure performed to relieve pressure on the spinal cord or nerve roots. This procedure specifically targets one interspace in the cervical region of the spine. The term "laminotomy" denotes an incision made into the lamina, which is the bony arch of the vertebra that covers the spinal canal. The primary goal of this procedure is to decompress the affected nerve root(s) that may be experiencing compression due to various conditions, such as herniated intervertebral discs or other spinal abnormalities. During the procedure, the surgeon may also perform a partial facetectomy, which involves the removal of a portion of the facet joint, and a foraminotomy, which is the widening of the foramen—the opening through which the nerve root exits the spinal column. The procedure may also include the excision of herniated disc material that is pressing on the nerve roots. By utilizing a posterior approach, the surgeon can access the spine effectively while minimizing damage to surrounding tissues. This comprehensive approach ensures that the underlying causes of nerve compression are addressed, thereby alleviating pain and restoring function to the affected area.