CPT® Code 63064

Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment

The CPT® Code 63064 refers to a surgical procedure known as a costovertebral approach with decompression of the spinal cord or nerve root(s), specifically targeting a single segment of the thoracic spine. This procedure is typically indicated for conditions such as a herniated intervertebral disc, where the intervertebral disc material protrudes and compresses the spinal cord or nerve roots, leading to pain, weakness, or neurological deficits. The costovertebral approach involves a strategic incision and manipulation of the thoracic vertebrae and surrounding structures to access the spinal canal. The procedure entails partial excision of a rib and removal of the transverse process on the affected side, allowing for the creation of a ventral window. This window provides the necessary visualization and access to the spinal cord and nerve roots, facilitating the removal of any herniated disc material or bone spurs that may be causing compression. The detailed steps of the procedure ensure that the surgical team can effectively relieve pressure on the spinal cord and nerves, ultimately aiming to alleviate symptoms and restore function to the patient.