CPT^® 63267, Under Excision by Laminectomy of Lesion Other Than Herniated Disk Procedures

The Current Procedural Terminology (CPT^®) code 63267 as maintained by American Medical Association, is a medical procedural code under the range - Excision by Laminectomy of Lesion Other Than Herniated Disk Procedures.

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Summary

In this procedure, the provider removes or evacuates an extradural growth in the lumbar spine using a technique known as a laminectomy to access the site.

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63267

Is there a rule that you are required to send a specimen to the pathology when bill a 63267-Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar-?... [ Read More ]

Decompressive lumbar laminectomy of L4-L5. Synovial cyst L4-L5 Resection. Bilateral L5 and S1 Foraminotomies.

Please see the attached 2021 AANS guidance. I will code 63267 if dictation states cyst was adherent to the Dura and explains how it was resected from the Dura. I would have to see the OP note to tell... [ Read More ]

Decompressive lumbar laminectomy of L4-L5. Synovial cyst L4-L5 Resection. Bilateral L5 and S1 Foraminotomies.

Hello, I have a question about the synovial cyst resection. I have been reading where if the cyst is incidental which they are saying it does not provide significant or large enough to be involved in ... [ Read More ]

63267 and 63047 Billed together?

I believe they can be billed together since they are at separate levels. Per AAOS for CPT 63267 lami at same level is included in 63267. 63267: "Intraoperative services [B]included[/B] in the globa... [ Read More ]

63267 and 63047 Billed together?

Hi All, Had a dr do a synovial csyt removal at L3-4, and then a lami at L4-5 for stenosis. It was coded as 63267 and 63047. Can these be billed together even with a mod 59? Thanks... [ Read More ]

Coding for a sacral lateral extravaitary approach for corpectomy and fusiion

I have a physician that did a S2 corpectomy and S1-S3 fusion using the lateral extracavitary approach for both. I am thinking i have to use the 69990 for all three of these codes. Of course then they ... [ Read More ]

Synovial Cyst Resection w/ Laminotomies

Here is information from Zupko/AANS seminar book " Excision of a snyovial cyst may be reported with a non-neoplasm code or with a laminectomy code depending on the incremental work involved. If fairly... [ Read More ]

Synovial Cyst Resection w/ Laminotomies

Need some help with coding laminotomies with cyst removal. Below is the relevant information from the note. I have seen 63267 suggested for removal of the synovial cyst, but the surgeon did not do a l... [ Read More ]

63267 vs. 63047

[QUOTE="miriam93063@yahoo.com, post: 463244, member: 80410"] I would code only for the 63267. It seems to me to be the appropriate code. Your operative note contains the facts about the extensive amou... [ Read More ]

63267 vs. 63047

I would code only for the 63267. It seems to me to be the appropriate code. Your operative note contains the facts about the extensive amount of fatty material. The report also indicates the surgeon r... [ Read More ]

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