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laminectomy with PLIF in 2015

Loredana Posted Tue 06th of January, 2015 17:02:22 PM

I would like to get a feedback from other spine coders regarding the laminectomy codes done at the same level as PLIF...per my understanding of 2015 NCCI edits only 63042 and 63047 should not be reported with 22633/ about the other lami codes (63005, 63017, 63267, ..) can they be reported? The NCCI does not use a range of codes, only the 2 specific ones...

24. CMS payment policy does not allow separate payment for CPT codes 63042 (laminotomy...; lumbar) or 63047 (laminectomy...; lumbar) with CPT codes 22630 or 22633 (arthrodesis; lumbar) when performed at the same interspace. If the two procedures are performed at different interspaces, the two codes of an edit pair may be reported with modifier 59 appended to CPT code 63042 or 63047.

SuperCoder Answered Wed 07th of January, 2015 23:00:16 PM

We are researching and will get back to you ASAP.

SuperCoder Answered Wed 07th of January, 2015 23:00:16 PM
SuperCoder Answered Fri 09th of January, 2015 07:23:45 AM

This edit with PLIF codes is applicable for other laminectomy codes as well.

Thanks !!

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