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Thread: Cervical Coding - Please help

  1. #1
    Join Date
    Apr 2007

    Default Cervical Coding - Please help

    AAPC: Back to School
    My physician listed codes 63020, 63045 and 63048 X 2. Can I bill the 63020 or is it bundled with 63045? Any suggestions?

    Brief Notes
    Decompressive cervical laminectomy C4,C5 and C6 (63045 and 63045X2)
    Decompressive hemilaminectomy/foraminotomy, left C7-T1 (63020)

  2. #2
    Join Date
    Apr 2007
    Greater Pittsburgh


    I don't think they are bundled because they are different levels, I would definitely note each level on claim.
    jdemar, CPC, CMA

  3. #3


    CCI edits bundle 63020 into 63045 but modifier 59 is allowed to override the edit. Bill 63020 last, with a 59 modifier. Your payer may require a copy of the operative report with the claim to prove different levels were addressed.

    I would submit the claim as follows:
    63048x2 (add-on code, does not require modifier 51)

  4. #4
    Join Date
    Apr 2007


    Thank you both for your help, that's what I thought but just wanted to double check!


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