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63045 and 63048

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daymansmom@yahoo.com

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Pearl, Mississippi
I have a doctor wanting to do two separate incisions for C4/C5 and C7/T1 for a hemilaminectomy for stenosis. Will we use 63045 twice or do 63045 and 63048 because there is an additional segment?
 
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daymansmom@yahoo.com said:
I have a doctor wanting to do two separate incisions for C4/C5 and C7/T1 for a hemilaminectomy for stenosis. Will we use 63045 twice or do 63045 and 63048 because there is an additional segment?
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When a CPT code is for a single segment, and there's an add-on code for additional segments, you code 63045, 63048 per the CPT manual. There's a note indicating this below 63048.
 
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