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Urgent: Laminectomy Question

  1. Exclamation Urgent: Laminectomy Question
    Medical Coding Books
    I do LITTLE ortho so I need a LOT of help! :-)

    I have to code an L3-L4 laminectomy w/decompression (spinal stenosis) and chose CPT 63005; can someone confirm if this is correct?

    Also, for an L2-L3 laminectomy with diskectomy, I'm confused as the codes with diskectomy only reference "laminotomy"--Which I think is fine BUT could someone verify the CPT for this part?

    God Bless!

    Janice

  2. #2
    Default lami
    I would use 63047, depends if he/she did a facetectomy or not.

  3. Default 63047
    I also agree with coding 63047 if facetectomy was performed see CPT Assist 2/2001

  4. Default
    I think 63047 is for a single segment, that's what it says at the end. I believe the code you chose is accurate.

  5. #5
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    North Carolina
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    Default
    Quote Originally Posted by jsd123 View Post
    I do LITTLE ortho so I need a LOT of help! :-)

    I have to code an L3-L4 laminectomy w/decompression (spinal stenosis) and chose CPT 63005; can someone confirm if this is correct?

    Also, for an L2-L3 laminectomy with diskectomy, I'm confused as the codes with diskectomy only reference "laminotomy"--Which I think is fine BUT could someone verify the CPT for this part?

    God Bless!

    Janice
    Janice,

    If your provider only performed a laminectomy/decompression without a facetectomy/foraminotomy, I agree with your code 63005. 63047 requires a facetectomy and foraminotomy in order to report this procedure.

    As for your 2nd question...

    Laminectomy is the removal of all or part of the posterior arch of a vertebral body. Laminotomy (hemilaminectomy) is the partial or complete removal of the bony lamina of one side of the vertebral body. "L2-L3 laminectomy with diskectomy"...typically, this falls under 63030 but w/o an op note, I'm only speculating.

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