Wiki 62287 with 64999 for annuloplasty

[GeraldineKobak]

Provider submitted 62287 for L5-S1 biacuplasty, and OR report documents left and right extrapedicular approach. OR report then documents advancement of needles further past the nuclear-anular junction into the outer portion of the nucleus. A 2.5 minute thermal lesion was used to complete the nucleus decompression. Both needles were withdrawn out of the annulus." Provider then also bills 64999 for annuloplasty.
My question, is 64999 separately billable with 62287? Or is annuloplasty inclusive of 62287?
Thank you in advance for your help!

 

[nolanspade]

This documentation does not adequately describe 62287 (at least the portion you shared.) The current correct coding for percutaneous annuloplasty is 22526, +22527. If reported with percutaneous decompression (and removal of disc material is documented for the decompression 62287) 22526 receives a -51 modifier and would be subject to multiple procedure reductions. There is a current CPT Assistant article that backs this up from April maybe?