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Lateral Recess Decompression

Maria Posted Thu 02nd of May, 2013 18:00:10 PM

If a surgeon states in their dictation that they did a lumbar laminectomy and lateral recess decompression for spinal cord decompression what code should you use 63005 or 63047?

SuperCoder Answered Mon 06th of May, 2013 21:01:19 PM

You are correct to report 63047/63048 for laminectomy at the lumbar levels. If three different segmental nerves were decompressed at the three joint levels (L23, L34 and L45), you correctly reported one unit of 63047 and 2 units of 63048. If however, four segmental nerves were decompressed, you would report three units of 63048 in addition to 63047.

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