cwickey
New
My surgeon is doing a TLIF above and below (an already fused level done with a cage) and he is doing lami’s for decompression at all levels. My question is am I able to bill the new lami code 63053 at the level that was already fused with the interbody?
OPERATIVE PROCEDURE:
1. Laminectomy, L3 and L5, for decompression at areas of stenosis at levels with interbody fusions performed.
2. Laminectomy, L4, for decompression previously fused area.
3. A 360-degree left-sided transforaminal lumbar interbody fusion with PEEK cage, L3-4.
4. A 360-degree posterolateral interbody fusion with PEEK cages, L5-S1.
5. Pedicle screw fixation, L3 through S1 (Alphatec Arsenal screws).
6. Locally harvested autograft supplemented with bone morrow aspirate, Mosaic, and allograft chips.
OPERATIVE PROCEDURE:
1. Laminectomy, L3 and L5, for decompression at areas of stenosis at levels with interbody fusions performed.
2. Laminectomy, L4, for decompression previously fused area.
3. A 360-degree left-sided transforaminal lumbar interbody fusion with PEEK cage, L3-4.
4. A 360-degree posterolateral interbody fusion with PEEK cages, L5-S1.
5. Pedicle screw fixation, L3 through S1 (Alphatec Arsenal screws).
6. Locally harvested autograft supplemented with bone morrow aspirate, Mosaic, and allograft chips.
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