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Suboccipital craniectomy and C1 laminectomy for resection

Mary ann Posted Thu 19th of September, 2013 09:39:10 AM

of cervical medullary metastasis. I was going to use 61518 but wasn't sure how to capture the C1 laminecetomy part of the procedure. Thanks

SuperCoder Answered Thu 19th of September, 2013 16:03:07 PM

Because the codes for laminectomy are bilateral or unilateral, you will not need any modifiers for this encounter. On the claim,

- report 63045 (Laminectomy, facetectomy and foraminotomy [unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root(s) (e.g., spinal or lateral recess stenosis)], single vertebral segment; cervical) for the initial (C1) laminectomy.

Mary ann Posted Thu 19th of September, 2013 16:20:41 PM

Do I also assign the 61518??

SuperCoder Answered Thu 19th of September, 2013 16:24:28 PM

Yes if the documentation supports it. Both can be used. There is no bundling in between.

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