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Wiki 63047

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sdunaway1

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When billing 63047,63048 we code at segment , so for example L4-5 is coded 63047 only but if an additional decompressed exiting nerve root is done at S1 does that allow us to bill 63048?

OR do we automatically code a 63047,63048 due to L4 (one seg) and L5(one seg) and then 63048 x2 if S1(one seg) is added?

Thank you in advance for your help.

Stephanie
 
The answer would depend on if your coding policy is to follow CPT or a Society like AANS. AANS says these decompression codes are to be counted by "motion" segment such as L4/5 or L5/S1. CPT says the decompression codes are to be counted by vertebral body.

My coding compliance officer has decided that my office will be following the Neurosurgery Society AANS therefore we count the "motion" segments.
 
Thank you for your response , I did just receive confirmation from AANS that the decompression codes should be billed at the motion segment level.

I
 
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