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Thread: Proc codes 63047,63048 and 63042

  1. #1

    Default Proc codes 63047,63048 and 63042

    AAPC: Back to School
    Surgeon did 3 levels of decompression, one is a new decompression, another is a revision decompression and the third is an additional level- I billed 63047,63048 and 63042 but insurance is denying 63047 as included- should I use 59 modifier on 63042? I am new to ortho and would appreciate any feedback. Thank you.

  2. #2


    Yes, you would need to use a 59 modifier and if still denies, appeal with the OR showing done at different levels.

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