Caralee Posted Fri 20th of July, 2012 18:46:22 PM
A complete laminectomy was performed on L3, L4, & L5 for decompression of the dura due to stenosis. The foramen at L5-S1 had a large disc buldge which was removed. I'm thinking code 63047 for the complete laminectomy but not sure about the removal of the bulging disc.
SuperCoder Answered Mon 23rd of July, 2012 09:05:49 AM
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, and in this case, the discectomy has been performed on another level of lumbar disc.