CPT® Code 63078

Add-On Code

Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; thoracic, each additional interspace (List separately in addition to code for primary procedure)

An anterior discectomy of the thoracic spine is a surgical procedure aimed at relieving pressure on the spinal cord and/or nerve roots caused by herniated intervertebral discs or other spinal pathologies. This procedure is performed through a thoracic approach, which necessitates a thoracotomy, allowing surgeons to access the thoracic spine directly. Typically, this operation 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 accessible, the intervertebral disc is carefully removed, often with the assistance of a surgical microscope to enhance precision. Additionally, any osteophytes, or bone spurs, that may be compressing the nerve roots are excised, along with the ligament that covers the spinal cord. If necessary, a bone graft may be contoured for placement to promote spinal stability, and internal fixation devices may be utilized to further stabilize the spine. 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 meticulously closed in layers to promote optimal healing. This code, CPT® 63078, is specifically used to report each additional interspace involved in the procedure, following the primary procedure code.