Wiki can 63047 and 63030 be reported together

[nan.coder]

In our ASC, Physician performed lumbar decompressive laminectomies with partial facetectomies and foraminotomies at L3/4 and L4/5 with no discectomy peformed - only bony decompression. He then performed the same procedure at L2/3 removing a large extruded disc hernation. The provided diagnoses were lumbar spinal stenosis, disc herniation and sciatica.

Should this procedure be coded as 63047 for L3/4, 63048 for L4/5 and 63030-59 for L2/3?

Any input would be greatly appreciated. If you have a source stating the two primary procedures 63047 and 63030 can be reported on the same date for different levels, that would be great.

Thank you.

 

[JG24]

Check out the AAPC Coder -- you can use it for free through the end of December --- here is the info I got from it


63047

laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s ...

CCI Validation Results:
No CCI edit; Check CPT® coding guidelines to make sure code is allowed.
Lay Terms
Articles
RVU 32.90
34.68
$1,119.36
$1,180.06
63030

laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of hern ...

CCI Validation Results:
Code 63030 is a column 2 code for 63047 , but a modifier is allowed in order to differentiate between the services provided.
*Use modifier with code 63030
CCI edit Rule:
HCPCS/CPT procedure code definition

Note*: Always use modifier (if allowable) with column 2 code.

The current NCCI-associated modifiers are: E1, E2, E3, E4, FA, F1, F2, F3, F4, F5, F6, F7, F8, F9, LC, LD, LM, RC, RI, LT, RT, TA, T1, T2, T3, T4, T5, T6, T7, T8, T9, 24, 25, 27, 57, 58, 59, 78, 79, and 91. Read about modifiers for CPT and HCPCS codes
Lay Terms
Articles
RVU 28.82
30.40
$980.54
$1,034.32
63048

laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s ...

CCI Validation Results:
No CCI edit; Check CPT® coding guidelines to make sure code is allowed.
Lay Terms

 

[LLynn29]

Yes, you can bill it that way with the 59 modifier attached to 63030. Make sure you distinguish the different diagnosis for each code.