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Spine Procedure

Diane Posted Tue 28th of January, 2020 16:23:50 PM
Doctor did Laminectomy at L4-L5 with discectomy and foraminotomy (63042), He also did Laminectomy at L3-4 with foraminotomy with removal of intraspinal synovial cyst at L3-L4. I used code 63267 which is laminectomy for excision of intraspinal lesion other than neoplasm. Workers' compensation with the Department of Labor states that 63267 is inclusive to 63042 even though it is a different level. The bill review people state I can file an appeal showing documentation that it is not inclusive. I think since it is at a different level it should not be inclusive, if the cyst was at the same level as L4-5 then yes it would be inclusive. Should I have just billed 63044 as an additional level so that it would not be inclusive. I don't have any documentation about billing 63267 along with 63042 I just thought since it was a different level it would pay. Please advise. Thank you.
SuperCoder Answered Wed 29th of January, 2020 06:26:11 AM
Hi nbsp As per the above-mentioned report CPT and are the correct codes Both procedures have been performed at different levels so both the codes will be billed separately As per the CCI edits CPT and can be billed together Be sure to append modifier Distinct procedural service to it...
Diane Posted Wed 29th of January, 2020 10:20:32 AM
You advised to check the links, I evidently do not have access to the news letter since I am Orthopedic and the news letter is apparently under Neurosurgery. Is there a way that I can access it? Thank you. Diane
SuperCoder Answered Thu 30th of January, 2020 01:00:47 AM
Hi Thanks for your query nbsp The complete data for above mentioned newsletter links are as follows https www supercoder com coding-newsletters my-neurosurgery-coding-alert reader-question-confirm-laminotomy-vs--laminectomy-in-spinal-cyst-excision- -article nbsp Reader Question Confirm Laminotomy vs Laminectomy in Spinal Cyst Excision nbsp Question In a patient with right-sided radiculopathy our surgeon diagnosed a synovial cyst...

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