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Wiki Laminectomy and microscope

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jonest1

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I took a workshop where we were told that it is appropriate to bill a laminectomy(63045-63047) and the microscope(69990). From what I am seeing all payers are denying as bundled. We do use encoder which says it is not seperately billable and no modifier allowed to override the relationship. Any help and info appreciated.
 
I agree, this code combo is bundled, per NCCI edits. The CPT book doesn't show that they are bundled (63045-63047 are not listed as included in the description under 69990), but Medicare, of course, creates their own edits, and many payers follow Medicare guidelines for this.

HTH!
 
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