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Laminectomy - Segment vs. Interspace

  1. #1
    Unhappy Laminectomy - Segment vs. Interspace
    Medical Coding Books
    I am being trained on spine surgery coding and I'm not sure I agree with what my trainer is telling me about a certain code.

    Patient had L3-4, L4-5, L5-S1 laminectomy with L3, L4, L5, S1 bilateral foraminotomies and decompression of neural elements. Diagnosis is stenosis with bilateral radiculopathy.

    Which is the correct way to bill this out.....

    1. 63047 + 63048 x2
    2. 63047 + 63048 x3

    Would appreciate as many responses as possible so that I have a wide variety of reasoning.

    Thanks much!

  2. Default
    I was always taught that you bill per nerve root decompressed. If the dr does not specify which nerve root was decompressed you bill per interspace, if they specify nerve root you bill per segment.

  3. #3
    Thank you for your response. The body of the op note does not specifically say "nerve root". Here's an exerpt for you to consider...
    "After doing the central decompression, lateral recess decompression and foraminotomies at the L3, L4, L5 and S1 levels we probed each of the foramen to make sure they were widely patent, which they were".

    Does that equate to 4 nerve roots?

  4. #4
    Manhattan, NY
    Seems the key is figuring out how many "single vertebral segments" there are.... This link is interactive, showing the anatomy of the spine. You can compare this to and look under the section titled "Spinal Cord Segments." Hope this helps!

  5. Default
    I would probably equate this to 4 segments. We were always told per foraminotomy or per nerve root decompressed. I would probably ask the surgeon to clarify this in future OR's.

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