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  1. Talking Discectomy/laminectomy
    Medical Coding Books
    I am a new coder at a spine/ortho ASC. The doctor here routinely performs laminectomies and discectomies, and dictates them in the op report as microdiskectomy and laminectomy for decompression. My question is- can these procedures be separately reported? For example, an L2-3 laminectomy and L2-3 discectomy. The current practice has been to report 63030 and 63047. I have seen previous claims were both were reported but I am not getting a clear answer on whether or not this is allowed.
    Apppreciate any advice!
    Here is a sample from a typical op report if it helps:
    1. L2-3 disk herniation.
    2. Lumbar stenosis.

    1. L2-3 disk herniation.
    2. Lumbar stenosis.

    1. L2-3 laminectomy for decompression.
    2. L2-3 microdiskectomy.
    3. Annular repair.
    4. L2-3 facet fusion with allograft bone.

  2. #2
    North Carolina
    NCCI edits bundle 63030 into 63047. It's one or the other (depending on complete documentation) unless a different level is involved. Appending modifier 59 can bypass 63030 through the edits but if ever audited, this money will be recouped.

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