CPT® Code 63300

Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical

Vertebral corpectomy, as defined by CPT® Code 63300, is a surgical procedure that involves the removal of a vertebral body along with the intervertebral discs situated above and below the affected vertebra. This operation is specifically indicated for the excision of an intraspinal lesion, which refers to a growth or abnormal tissue located within the spinal canal. Importantly, the lesion is classified as extradural, meaning it is positioned outside the dura mater, the protective covering of the spinal cord. The procedure is limited to a single segment of the cervical spine, which is the portion of the spine located in the neck region. The surgical approach to perform a vertebral corpectomy is typically anterior, beginning with an incision made on the front side of the neck. This allows for direct access to the cervical spine. During the operation, the surgeon meticulously dissects the soft tissues and muscles that overlay the cervical spine, retracting vital structures such as the trachea and esophagus to gain visibility and access to the affected vertebral segment. The procedure is performed with precision, often utilizing a surgical microscope to enhance visibility and ensure careful dissection of the intervertebral discs and the vertebral body. The ultimate goal of the vertebral corpectomy is to remove the lesion or tumor while preserving surrounding structures and facilitating subsequent stabilization of the spine through bone grafting and fusion, if necessary.