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
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.