Diane Posted Wed 22nd of June, 2016 16:48:03 PM
this patient was status post decompressive laminectomies at L3-L5 by another doctor. We went in and did a revision of spine surgery with external neurolysis of L3, L4 and L5 nerve roots bilaterally, with foraminotomies bilateral at L3-L4, L4-L5 and L5-S1 with excision of massive herniated disc and fragments at L4-5 on rt with bilateral discectomies at L5-S1. Since laminectomies had previously been done we did not do laminectomies, all the codes state laminectomy. So do I just use the laminectomy code 63042 for re-exploration and use a -22 modifier for reduced procedure? Can I also use the code 64714 lumbar plexus for the external neurolysis. I do not want the fee to be drastically reduce because I use a modifier 22 because there was still alot of work done. Please advise on coding. Thank you
SuperCoder Answered Thu 23rd of June, 2016 03:44:46 AM
Use Modifier 52 reduce services instead of modifier 22. To bill Cpt 64714 modifier 59 is applicable with cpt 63042.