Wiki Spine Coding 63047

[magmae]

Multiple questions here....

If doctor only dictates that he does a Decompression Laminectomy and Foraminotomy for spinal stenosis would you still use 63047 even though there was no Facetectomy performed?
If so, please explain why when the code descriptor states "and" meaning all 3 need to be done.
If not, what code would you use?
Would you use a 52 for reduced services?

Thanks

 

[CoderinJax]

same issue

I have this same question, except my scenario is decompression laminectomy and facetectomy, but no forminotomy! Do they get the 63047 but with the "52" modifier? Do they not get the 63047 at all?

 

[avon4117]

what about 63005?

 

[CoderinJax]

63005 is only part of the work in my case..

In the scenarios that myself and the OP have, it appears the Docs are doing 2 of the 3 required for 63047, but more work than only that of 63005, so don't want them shortchanged either. 63030 is only partial, so it doesn't show the full work being done either.
If 63047 said laminectomy and facetectomy and/or foraminotomy it would solve this whole issue, haha.