63090 Remove vertebral body dcmprn lumbar
Also known as: lumbar vertebrectomy, lumbar corpectomy, lumbar vertebral body removal
Removal of vertebral body for decompression in the lumbar region. This extensive procedure involves lumbar vertebrectomy to decompress the lumbar spinal cord and cauda equina.
In Plain Language
lower back bone removal for spinal decompression
Clinical Context
Used for lumbar pathology including vertebral body tumors, trauma, severe stenosis, or substantial disc pathology causing myelopathy or cauda equina compression.
RVU Breakdown
| Work RVU | 30.16 |
| Total RVU | 30.16 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 30.16, this code ranks in the 93rd percentile among Surgery codes — 3.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 63090?
CPT 63090 (Remove vertebral body dcmprn lumbar) is a Surgery code. Removal of vertebral body for decompression in the lumbar region. This extensive procedure involves lumbar vertebrectomy to decompress the lumbar spinal cord and cauda equina.
What is the wRVU value for CPT 63090?
The work RVU for CPT 63090 is 30.16. This code is primarily used by Orthopedic Spine Surgery, Neurosurgery. It has a 90-day global period.
When is CPT 63090 used?
Used for lumbar pathology including vertebral body tumors, trauma, severe stenosis, or substantial disc pathology causing myelopathy or cauda equina compression.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.