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Lumbar Laminectomy with microdiscectomy

  1. Default Lumbar Laminectomy with microdiscectomy
    Exam Training Packages
    Is it correct to code both a 63047 and a 63030 at the same level if a laminectomy with microdiscectomy was performed in the lumbar spine? The CPT description of the laminectomy does not outline the excision of herniated disc only decompression of the neural elements or spinal cord.

  2. Thumbs up Laminectomy/Discectomy
    63030 includes the laminectomy and unless you are dealing with a different level altogether, you can't combine them...

  3. #3
    North Carolina
    Default's not appropriate to report both for the same level...

    If both a laminectomy and a laminotomy are performed on the spine at different levels, then it would be appropriate to report a separate code for each of the procedures performed.

    Keep in mind...

    The purpose of 63030 is to treat a HNP...whereas, 63047 treats spinal stenosis.

    Do you have an Op note for us to review?

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