Wiki laminotomy and foraminotomy

[penguins11]

Did the Dr. do the procedure for stenosis or herniated lumbar disc? Did he specify what nerve roots were decompressed?

 

[penguins11]

Code 63047 is for unilateral or bilateral and if he did procedure for stenosis I would bill the 63047. When deciding to bill per segment or per interspace, I go by nerve roots decompressed. Because he doesnt really specify which nerve roots decompressed, I would bill per interspace, 63047 for L3-L4 and 63048 for L4-L5. If he had stated in the OR that he decompressed the L3, L4, L5 nerve roots I would bill 63047 and 63048 x 2.