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LAMINECTOMY... L2-L3? Sequence?

  1. Default LAMINECTOMY... L2-L3? Sequence?
    Clearnace Sale
    Patient was admitted for back surgery. Diagnoses include: intervertebral
    disc discplacement of the L2-L3 and L3-L4 spaces with spinal stenosis. Patient was taken to the OR where the following procedures were performed: Laminectomy with diskectomy of L2-L3 and laminectomy decompression at L3-L4.
    these cases always confuse me...

  2. Default
    This is not my area of expertise, but I would code the laminectomy with diskectomy of L2-L3 with a 63047 and the laminectomy decompression at L3-L4 with a 63017. I would love to hear others' coding advice. Also, I would think you could charge 63048 for the additional lumbar segment.
    Last edited by lovetocode; 03-13-2010 at 12:37 PM. Reason: add-on code

  3. #3
    Default lami
    I would code 63047, 63048 for a 2 level lami. Work for Neurosurgeon, I code lot's of these. Hope this help's!

  4. Default
    I'd use 63047/48 also.
    Bruce Crandall, CPC
    North Carolina Specialty Hospital
    Durham, NC

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