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Thread: Billing procedures 63045-63048 with a 50 modifier

  1. #1

    Default Billing procedures 63045-63048 with a 50 modifier

    AAPC: Back to School
    I need help again clearing up some confusion with the range of procedure codes 63045-63048 (Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root(s). Some of the physicians in our orthopaedic practice bill these range of codes with a 50 modifier. Since bilateral is built into the code description it was my understanding that we could not append modifier 50 to this range of codes. Am I correct in this or should we bill with a 50 modifier if the documentation states procedures 63045-63048 were performed on both sides.

  2. #2
    Join Date
    Apr 2007
    North Carolina


    You are correct. These particular codes are inherently bilateral. If performed bilaterally, the RVU's have already been factored into this procedure.

  3. #3

    Default Posting 63045-63048 with modifier 50

    Thanks for the reply and helping to clear up the confusion.

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