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63030 vs 63047

Cari Posted Wed 06th of June, 2012 20:02:37 PM

If the surgeon does an L4/5 hemilaminectomy, foraminotomy, and facetectomy for radiculopathy and DDD, stenosis NOT for excision of HNP, what would appropriate code be since surgeon did a hemilamiectomy and not a laminectomy?

SuperCoder Answered Wed 06th of June, 2012 20:57:50 PM

Because removal of a herniated disc is an optional component of 63030, I would prefer 63030 here. We cant code for laminectomy when the surgeon did hemilamiectomy.

Cari Posted Thu 26th of July, 2012 15:07:50 PM

Can we bill for a Microdiscectomy, with the Laminectomy? The surgeon did a Hemilaminectomy, foraminotomy, microdiscectomy at 3 different levels.

SuperCoder Answered Tue 14th of August, 2012 16:23:50 PM

Example:

Code 63047, +63048, 63048 for L3, L4, & L5 for decompression of the dura due to stenosis.

Also, code 63030-59 for excision of L5-S1 disc bulge (discectomy). Append modifier 59 since otherwise 63030 is included within 63047(the discectomy has been performed on another level) of lumbar disc.

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