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Cervical Coding - Please help

  1. #1
    Default Cervical Coding - Please help
    Medical Coding Books
    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
    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. Default
    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
    Thank you both for your help, that's what I thought but just wanted to double check!


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