Maria Posted Mon 08th of April, 2013 19:33:40 PM
My surgeon did Cervical Laminoplasties at C3-7 and partial laminectomies at C2 and T1. Would the C2 and T1 partial laminectomies be billable?
SuperCoder Answered Tue 09th of April, 2013 14:35:59 PM
63001 (for C2 laminectomy) and 63003 (partial lamenectomy at T1) are billable. See the parenthetical notes below CPT 63051 that says:
"Do not report 63050 or 63051 in conjunction with 22600, 22614, 22840-22842, 63001, 63015, 63045, 63048, 63295 for the same vertebral segment(s))"
This means that laminectomy at C3-7 is not billable (in this case, that does not take place as well). But because of this guideline and CCI bundling of 63001 with 63050 (63050 is column 1 code), it will be difficult to get paid for 63001. To override the CCI bundling, use mod. 59 with 63001. And provide documentation supporting 63001 being done at a different level of vertebra (C2) with claim.
So, bill as:
63001 - 59