CPT® Code 63040

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

Laminotomy, specifically a hemilaminectomy, is a surgical procedure performed to relieve pressure on nerve roots in the cervical spine. This procedure is indicated for patients who have previously undergone surgery in the cervical region and require re-exploration due to persistent symptoms or complications. The term "laminotomy" refers to the surgical removal of a portion of the lamina, which is the bony arch of the vertebra that covers the spinal canal. In this context, a hemilaminectomy involves the removal of one side of the lamina to access the spinal canal and the nerve roots. The procedure may also include additional techniques such as partial facetectomy, which involves the removal of a portion of the facet joint, and foraminotomy, which is the enlargement of the foramen to relieve nerve root compression. Furthermore, if a herniated intervertebral disc is present, the surgeon may excise the herniated disc material to decompress the affected nerve root. The goal of this procedure is to alleviate pain, restore function, and improve the quality of life for patients suffering from nerve root compression in the cervical spine.