L4-5 laminotomy & L5-S1 redo laminotomy

nan.coder

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Saint Louis, MO
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Patient had right L5-S1 laminomty on 3-15-11. Patient returned to surgery center on 6-30-12 to have laminotomy performed at L4-5 right and re-laminotomy at L5-S1 right. Can two primary codes be billed for this procedure - 63030 and 63042 with -59 modifier?

thanks
 

penguins11

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Please post the OR for more clarification. Based on your description, I wouldnt bill any of the codes below, depends on diagnosis and what was originally done and the date the original procedure was done as to what would be billed and whether a facetectomy, foraminotomy and/or discectomy was done. A lami alone is a different code than a lami with facetectomy, foraminotomy and or discectomy.
 
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