Neurosurgery Coding Alert

You Be the Coder:

Can You Code Tongs With Laminectomy?

Question: May we report 20660 separately for use of tongs when performing cervical laminectomy?-

Washington, D.C., Subscriber

Answer: In fact, you may not report 20660 (Application of cranial tongs, caliper, or stereotactic frame, including removal [separate procedure]) separately for use of tongs when performing cervical laminectomy (63045, Laminectomy, facetectomy and foraminotomy [unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root(s) (e.g., spinal or lateral recess stenosis)], single vertebral segment; cervical).

The national Correct Coding Initiative specifically bundles 20660 to 63045. Additionally, CPT designates 20660 as a "separate procedure" and therefore not usually billable when performed along with a related procedure.

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