Orthopedic Coding Alert

You Be the Coder:

Multi-Level Hemilaminectomies

Question: Encounter notes indicate that the surgeon performed hemilaminectomy on spinal segments C3-C5. The surgery also included nerve root decompression, partial facetectomy (C3-C4), and excision of a herniated disc (C4-C5). Should I report 63020 x 2? Nevada Subscriber Answer: No. There is an add-on code for additional vertebral segments your surgeon might treat during these hemilaminectomies. On your claim, report 63020 (Laminotomy [...]
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