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Thread: Hemilaminotomy with excision of herniated disc

  1. #1
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    Default Hemilaminotomy with excision of herniated disc

    Hello
    I was hoping someone could tell me what code you would use for this procedure. There has been some disagreements about what the correct code is and I wanted to get some other opinions. Thanks

    Hemilaminotomy decompression with excision of herniated disc at the L5-S1 level.

    One person thinks it should be coded as 63030 and another thinks 63047.

  2. #2
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    Default

    Based on the information given I would bill this as 63030.

    Julie, CPC

  3. #3
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    Thanks Julie

  4. #4

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    Agree with jdrueppel.

  5. #5
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    With the information you posted, I also agree with 63030. 63047 requires a complete excision of the lamina, facetectomy and foraminotomy. 63030 is a partial....

  6. #6
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    Thumbs up RE:

    Quote Originally Posted by AmyCPCCPCH View Post
    Hello
    I was hoping someone could tell me what code you would use for this procedure. There has been some disagreements about what the correct code is and I wanted to get some other opinions. Thanks

    Hemilaminotomy decompression with excision of herniated disc at the L5-S1 level.

    One person thinks it should be coded as 63030 and another thinks 63047.

    Because this says "hemi" that means that it's only partial- and that would be 63030. If the surgeon took out the entire lamina- it could have been 63047. Also- make sure this isn't a revision hemi- which would be 63042. Hope this helps!

  7. #7
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    Default

    Thank you everyone, the replies were very helpful.

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