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Extraforaminal Decompression bilateral

Pia Posted Wed 10th of June, 2015 13:05:59 PM

Why am I being denied for 63056-50. CPT does not say NOT to bill with -50.

SuperCoder Answered Thu 11th of June, 2015 03:56:58 AM

This is correct, it cannot be billed with modifier 50. CPT 63056 can be bill once for one segment at a time. In this procedure the provider uses a transpedicular approach to repair a bulging lumbar disc without manipulating the spinal cord. The approach is through the side of the pedicle of one lumbar vertebra, known as a transpedicular approach. A far lateral herniated intervertebral disc may require a different approach such as a transfacet or lateral extraforaminal approach. This service is done to relieve pressure on the spinal cord, equina, or nerve roots. And for each additional segment, thoracic or lumbar CPT 63057 can be used.

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