63190 Incise spine nerve >2 segmnts
Also known as: multi-segment rhizotomy, selective dorsal rhizotomy, dorsal root sectioning
Incision of spinal nerve root for two or more segments. This procedure involves selective division of spinal nerve rootlets or tracts across multiple vertebral segments for pain management or functional restoration.
In Plain Language
partial nerve cutting across multiple spinal levels
Clinical Context
Commonly used for selective dorsal rhizotomy in spasticity management in children with cerebral palsy or for multi-level pain ablation in intractable conditions.
RVU Breakdown
| Work RVU | 18.42 |
| Total RVU | 18.42 |
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 18.42, this code ranks in the 80th percentile among Surgery codes — 2.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 63190?
CPT 63190 (Incise spine nerve >2 segmnts) is a Surgery code. Incision of spinal nerve root for two or more segments. This procedure involves selective division of spinal nerve rootlets or tracts across multiple vertebral segments for pain management or functional restoration.
What is the wRVU value for CPT 63190?
The work RVU for CPT 63190 is 18.42. This code is primarily used by Neurosurgery, Pediatric Neurosurgery. It has a 90-day global period.
When is CPT 63190 used?
Commonly used for selective dorsal rhizotomy in spasticity management in children with cerebral palsy or for multi-level pain ablation in intractable conditions.
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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.