CPT® Code 63600

Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or recording)

The CPT® Code 63600 refers to the creation of a lesion on the spinal cord using a stereotactic method, which is a precise technique that employs advanced imaging technology to guide surgical instruments. This procedure is performed percutaneously, meaning it is done through the skin with minimal incisions. The stereotactic approach utilizes three-dimensional imaging, often obtained through computed tomography (CT) or magnetic resonance imaging (MRI), to accurately locate abnormalities within the spinal cord. By generating a detailed 3-D representation of the spine, surgeons can determine the safest and most direct route to the targeted area requiring intervention. During the procedure, a small incision is made over the spine, and specialized instruments are navigated towards the abnormality using a surgical navigation system that tracks the instruments in real-time. The primary goal of this procedure is to create a lesion that blocks the transmission of pain signals to the brain, thereby alleviating pain for the patient. To achieve this, electrodes are strategically placed along the spinal cord and connected to a generator that produces electrical impulses. These impulses stimulate the spinal cord, and recordings may be taken as necessary to assess the effectiveness of the stimulation. The optimal site for the lesion is carefully identified, and a thermal, electrical, or radiofrequency device is then advanced to this location to destroy the targeted spinal cord region, effectively creating the lesion. This procedure is distinct from other related procedures, such as CPT® Code 63610, which involves percutaneous stereotactic stimulation of the spinal cord without creating a lesion.