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Laminectomy

Nicole Posted Thu 25th of October, 2018 16:13:37 PM
My doctor is doing an inferior L4 laminectomy (bilateral) as well as a superior laminectomy at L5 (bilateral) with partial medial facetectomy and lateral decompression at L4-L5. The correct coding for this scenario should be 63047 and 63048 correct?
SuperCoder Answered Fri 26th of October, 2018 02:57:45 AM

Hello Nicole,

Thank you for your question.

 

No, you should not bill both 63047 and 63048 for the above-mentioned scenario.

When your surgeon does a laminectomy at L4-L5, it implies that the inferior L4 lamina and superior L5 lamina are removed and a foraminotomy is done at L4-L5 to decompress the exiting nerve root. You will report only one CPT® code 63047. To report a second code, 63048, your surgeon will need to remove more of the lamina at either L4 or L5 and do a foraminotomy with decompression of a different exiting nerve root at a level above or below such as at L3-L4 or L5-S1.

 

Hope this helps.

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