63042/63030-51

tmarugg

Networker
Messages
31
Location
Abilene, Tx
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0
The patient underwent a "revision L5-S1 decompression/microdiskectomy". Diagnosis "Lumbar radiculopathy with scar tissue formation and intractable pain" From the op note "...recent MRI of the lumbar spine demonstrated significant scar tissue in & around the S1 nerve root..."

Would the use of modifier -51 on the on the initial discectomy be correct? According to CCI edits, the codes are mutually exclusive. Or should we not bill the 63042 redo discectomy?

Thank in advance!
 

avon4117

Guru
Messages
246
Location
FLINT
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0
I would bill the redo code only...the code represents the build up of the scar tissue and the RVU's are much higher. Hope this helps
 
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