I am having much difficulty regarding the Category III codes. My physician really, really wants to perform 0275T - Percutaneous laminotomy/laminectomy (intralaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy) any method under indirect image guidance (eg, fluoroscopic, CT), with or without the use of an endoscope, single or multiple levels, unilateral or bilateral; Lumbar. He did perform it once, on a patient who has Medicare. It was denied, billing company sent an appeal and we are still waiting for their answer. But now my physician wants to try getting a pre-authorization from a commercial payor so he can start performing this procedure. I really don't know what else to do. I have had responses from coders in other states indicating that this code comes back denied and I have relayed that information to my physician, but he just seems determined to perform the service.