CPT® Code 63077

Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, single interspace

An anterior discectomy of the thoracic spine is a surgical procedure that involves the removal of an intervertebral disc located in the thoracic region of the spine. This procedure is performed through a thoracic approach, which necessitates a thoracotomy, allowing the surgeon to access the thoracic spine directly. The operation typically involves a collaborative effort between a thoracic surgeon, who is responsible for the exposure of the surgical site, and a spine surgeon, who performs the discectomy itself. The procedure begins with an incision in the skin over the thorax, followed by dissection of the overlying muscles and resection of a rib to facilitate adequate exposure of the affected spinal area. Once the thoracic spine is accessed, the intervertebral disc is carefully removed, often with the assistance of a surgical microscope to enhance visibility and precision. Additionally, any osteophytes, or bone spurs, that may be compressing the spinal cord or nerve roots are excised, along with the ligament that covers the spinal cord. If necessary, a bone graft may be contoured for placement to aid in spinal stability, and internal fixation devices may be utilized to further stabilize the spine post-procedure. After the discectomy is completed, the surgical team ensures that any bleeding is controlled, a chest tube is placed to manage any potential fluid accumulation, and the thorax is closed in layers to promote proper healing. This procedure is specifically coded as CPT® Code 63077 for a single thoracic interspace, with CPT® Code 63078 designated for each additional interspace that may require similar intervention.