CPT® Code 63295

Add-On Code

Osteoplastic reconstruction of dorsal spinal elements, following primary intraspinal procedure (List separately in addition to code for primary procedure)

Osteoplastic reconstruction of dorsal spinal elements refers to a surgical procedure aimed at restoring the structural integrity of the spine after a primary intraspinal procedure, such as a laminectomy. This reconstruction is particularly significant in pediatric patients, who are more susceptible to developing kyphotic spinal deformities following such procedures. The term "osteoplastic" indicates that the procedure involves the manipulation and reconstruction of bone structures. During this operation, the dorsal elements of the spine, which may include the laminae, spinous processes, and associated ligaments, are meticulously repositioned to their original anatomical locations. The process typically involves the use of a drill to prepare these structures for the application of internal fixation devices. These devices, which can include heavy sutures, wires, or mini-plates, are employed to secure the reconstructed elements firmly in place, ensuring stability and proper alignment of the spine post-surgery. This procedure is coded separately from the primary intraspinal procedure, highlighting its role as an adjunctive surgical intervention aimed at enhancing patient outcomes and preventing complications related to spinal deformities.