All ASC CPT codes
SPECIALTY HUB · Spine/nerve 61000–64999

Neurological Surgery in the ASC: CPT Codes and Coverage

Neurological surgery treats the brain, spine, spinal cord, and peripheral nerves. In an ambulatory surgery center, the outpatient work is largely spine and nerve based: decompressions, laminotomies, and peripheral nerve procedures. The CPT family runs from 61000 through 64999, with higher-volume ASC codes clustering in the spine decompression and nerve ranges. Examples include 63030 (laminotomy for decompression of a single lumbar nerve root) and 63047 (lumbar laminectomy with facetectomy and foraminotomy).

Whether Medicare pays a given code in an ASC depends on the CMS addenda: codes on Addendum AA are on the ASC Covered Procedures List, meaning Medicare pays them in an ASC, while Addendum EE codes are excluded. Coders should confirm each code against the current ASC Covered Procedures List rather than assume the whole 61000-64999 range is payable.

Neurological Surgery codes(1–60 of 531)

Are neurosurgery procedures done in an ASC?

Yes, many are. Spine decompressions such as 63030 and 63047 and peripheral nerve releases such as 64721 (carpal tunnel surgery) are commonly performed in ambulatory surgery centers and billed under place of service 24. Higher-acuity intracranial and complex spinal procedures generally remain in the hospital setting. Whether Medicare pays a specific code in an ASC depends on whether it appears on the CMS ASC Covered Procedures List (Addendum AA).

What CPT codes does neurological surgery use?

Neurosurgery uses the CPT family from 61000 through 64999, spanning the skull and brain, spine and spinal cord, and peripheral nervous system. In the ASC context the most relevant codes are in the spine decompression range, such as 63030 and 63047, and the peripheral nerve range, such as 64721. Our dataset maps 531 codes in this specialty to ASC relevance, and each linked page shows the descriptor and coverage status.

How do I know if a neurosurgery code is covered in an ASC?

Check the code against the current CMS addenda. Codes on Addendum AA are on the ASC Covered Procedures List, meaning Medicare pays them in an ASC. Addendum BB lists covered ancillary services, and Addendum EE codes are excluded from ASC payment. Because this specialty ranges from simple nerve releases to complex spine work, confirm each code individually rather than assuming the entire 61000-64999 range is payable in an ASC.

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