What does CPT code 63030 mean?
CPT code 63030 is defined as “Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar.”
What is the difference between CPT codes 63030 and 63047?
In addition, 63030 is a unilateral code, and should be reported for the first occurrence of disc herniation, CPT explains. By contrast, Code 63047 is used to report procedures performed for lateral recess stenosis, for example, caused by either ligamentum flavum hypertrophy or facet arthropathy.
Can CPT code 63030 and 63047 be billed together?
Both CPT 63030 and CPT 63047 may be reported independently of each other when performed during the same operative session pending clinical documentation.
What is a Hemilaminectomy and foraminotomy?
To decompress the spine, a hemilaminectomy can be performed. In this procedure, the surgeon only removes part of the lamina on the side that needs to be decompressed, preserving its basic structure. A foraminotomy is another procedure that takes pressure off the spinal nerves.
What is procedure code 22614?
CPT® Code 22614 in section: Arthrodesis, posterior or posterolateral technique, single level.
Can CPT code 63047 and 63048 be billed together?
Use CPT 63045 for cervical or CPT 63047 for lumbar, with additional levels billed with add-on Code +63048 unilateral or bilateral. In this procedure, the physician removes the spinous process. If the stenosis is central, the lamina may be removed out to the articular facets using a burr.
What is the CPT code 69990?
CPT has designated code 69990 as an add-on code to report an operating microscope. 69990 should be reported (without modifier 51 appended) in addition to the code for the primary procedure performed.
Is laminectomy same as foraminotomy?
A foraminotomy is a surgical procedure designed to lower pressure within the spinal canal by enlarging the passageway through which a spinal nerve root branches from the spinal canal. A laminectomy is a procedure to remove a greater portion of the bone (lamina) covering the roof of the spinal canal.
What is procedure code 63047?
CPT 63047 involves not only removal of lamina for central decompression but also lateral recess decompression in the form of a facetectomy (e.g., medial, partial) and/or foraminotomy for nerve root decompression.
What is the difference between CPT 63030 and 63047?
Some more explanations to bill for these codes: CPT 63030 for the discectomy is included in the 63047 (spinal stenosis) when performed at the same level, so 63047 should be only code reported for this scenario. You should report 63030 when laminotomy is performed with a discectomy to treat spinal disc. Regarding this, what is procedure code 63047?
When to use CPT code 63047 for lateral recess decompression?
It should only be used after the global period for the first disc surgery lateral recess decompression at a level CPT code 63047 if no disc work is per- formed. The presence of a lumbar disc herniation (722.1) drives the CPT code. Another common misconception is code 63047.
When to use CPT code 63042 for re-exploration?
Re-exploration at a level with a recurrent disc herniation can only use CPT code 63042. It should only be used after the global period for the first disc surgery lateral recess decompression at a level CPT code 63047 if no disc work is per- formed.
When to report a unilateral code 63030?
“Code 63030 has been revised to clarify the appropriate reporting of this code for use when performing laminotomy for diskectomy using endoscopic assistance.” In addition, 63030 is a unilateral code, and should be reported for the first occurrence of disc herniation, CPT explains.