Nicole Posted Mon 27th of November, 2017 13:53:54 PM
The doctor performed an Osteophytectomy on the C3, C4, C5, C6, C7. He also did a Corpectomy at the C4 (63081).
Would the Osteophytectomy be billed as the 63075, 63076 x3 (cannot bill at same level as the Corpectomy)
The diagnosis is Dysphagia and Spinal Stenosis (but it is also mentioned in the OP Report that the Corpectomy will be done to decompress the spine to help with swallowing)
Nicole Posted Mon 27th of November, 2017 14:08:47 PM
I just realized the 63075 is per Interspace.
So how would that work since the Corpectomy being done at the C4?
SuperCoder Answered Tue 28th of November, 2017 04:57:47 AM
Report Osteophytectomy Per Interspace
Osteophytectomy code 63075 specify "single interspace" (that is, one space between two vertebrae), and therefore your code selection should reflect the specific interspace treated. You should use add-on codes 63076 to report each additional interspace. These codes are not subject to multiple-procedure reductions. For example, taking an anterior approach and using the operating microscope, the surgeon performs anterior diskectomy that extends to include the posterior osteophytes at the C3/C4, C4/C5, C5/C6, C6/C7 interspaces. You should report the surgery as 63075, 63076 x 3 (according to CPT, use of an operating microscope  is an inclusive component of 63075-63076).
CPT 63081 is appropriate for Corpectomy at the C4 segament. Please feel free for any further query.