Go Back   AAPC Medical Coding & Billing Forums > Medical Coding > Orthopaedics
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 05-06-2009, 07:26 AM
AmyCPCCPCH AmyCPCCPCH is offline
Networker
 
Join Date: Apr 2007
Location: Columbus Ohio
Posts: 37
AmyCPCCPCH is on a distinguished road
Default Hemilaminotomy with excision of herniated disc

Hello
I was hoping someone could tell me what code you would use for this procedure. There has been some disagreements about what the correct code is and I wanted to get some other opinions. Thanks

Hemilaminotomy decompression with excision of herniated disc at the L5-S1 level.

One person thinks it should be coded as 63030 and another thinks 63047.
Reply With Quote
  #2  
Old 05-06-2009, 07:46 AM
jdrueppel jdrueppel is offline
Expert
 
Join Date: Apr 2007
Location: Lincoln, NE
Posts: 435
jdrueppel is on a distinguished road
Default

Based on the information given I would bill this as 63030.

Julie, CPC
Reply With Quote
  #3  
Old 05-06-2009, 08:26 AM
AmyCPCCPCH AmyCPCCPCH is offline
Networker
 
Join Date: Apr 2007
Location: Columbus Ohio
Posts: 37
AmyCPCCPCH is on a distinguished road
Default

Thanks Julie
Reply With Quote
  #4  
Old 05-06-2009, 08:28 AM
bhorncpc bhorncpc is offline
New
 
Join Date: Apr 2007
Posts: 3
bhorncpc is on a distinguished road
Default

Agree with jdrueppel.
Reply With Quote
  #5  
Old 05-06-2009, 09:52 AM
RebeccaWoodward* RebeccaWoodward* is offline
True Blue
 
Join Date: Apr 2007
Location: North Carolina
Posts: 3,129
RebeccaWoodward* will become famous soon enough
Default

With the information you posted, I also agree with 63030. 63047 requires a complete excision of the lamina, facetectomy and foraminotomy. 63030 is a partial....
Reply With Quote
  #6  
Old 05-06-2009, 11:46 AM
jira85 jira85 is offline
Networker
 
Join Date: Apr 2007
Location: Leesburg. VA
Posts: 38
jira85 is on a distinguished road
Thumbs up RE:

Quote:
Originally Posted by AmyCPCCPCH View Post
Hello
I was hoping someone could tell me what code you would use for this procedure. There has been some disagreements about what the correct code is and I wanted to get some other opinions. Thanks

Hemilaminotomy decompression with excision of herniated disc at the L5-S1 level.

One person thinks it should be coded as 63030 and another thinks 63047.

Because this says "hemi" that means that it's only partial- and that would be 63030. If the surgeon took out the entire lamina- it could have been 63047. Also- make sure this isn't a revision hemi- which would be 63042. Hope this helps!
__________________
Shaiye Gutierrez, CPC
sgutierrez@spinemd.com
Reply With Quote
  #7  
Old 05-06-2009, 05:22 PM
AmyCPCCPCH AmyCPCCPCH is offline
Networker
 
Join Date: Apr 2007
Location: Columbus Ohio
Posts: 37
AmyCPCCPCH is on a distinguished road
Default

Thank you everyone, the replies were very helpful.
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 04:37 AM.

AAPC - Top

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright ©2014, AAPC