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Cervical Epidural Abscess

Caralee Posted Tue 09th of July, 2013 11:22:43 AM

Pt. has Cervical epidural Absces from C6-T2.
Surgeon performs following procedure.
C6 and C7 hemilaminecotmy
Evacuation of cervical epidural abscess
Use of intraoperative microscope

We are looking at 63020, 63035 for Hemilaminectomy?
Any additional code for evacution of epidural abscess?
What dx code goes for cervical epidural abscess?

SuperCoder Answered Wed 10th of July, 2013 00:17:10 AM

Look at code 63265 (laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical).

Use 63265
63020-59
63035

Dx-324.1

Caralee Posted Wed 10th of July, 2013 11:04:42 AM

Thank you.

Caralee Posted Wed 10th of July, 2013 14:42:32 PM

Code description for 63265 - Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural, cervical. Would 63020 considered bundled with 63265?

SuperCoder Answered Thu 11th of July, 2013 03:27:49 AM

Yes, If it is performed in same levels C6 and C7.

I unbundle this code with Modifier 59 if performed in different level.

I am sorry for this confusion.

Thanks

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