CPT^® 63044, Under Posterior Extradural Laminotomy or Laminectomy for Exploration/ Decompression of Neural Elements or Excision of Herniated Intervertebral Disks Procedures

The Current Procedural Terminology (CPT^®) code 63044 as maintained by American Medical Association, is a medical procedural code under the range - Posterior Extradural Laminotomy or Laminectomy for Exploration/ Decompression of Neural Elements or Excision of Herniated Intervertebral Disks Procedures.

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Summary

This procedure is laminotomy of each additional lumbar interspace with decompression of the nerve root(s), and includes a partial facetectomy, foraminotomy, and/or the excision of a herniated intervertebral disc. This procedure is a reexploration.

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Spine surgery revision?

Hello, I read this as a laminectomy for decompression of spinal nerve [B]through the lateral recess thus [/B]63047 and 63048 is the way I would go. If there is a dx on OP for stenosis then per the AHA... [ Read More ]

Spine surgery revision?

I am confused on the correct way to code this and hoping I can get some help with this. Apparently this patient had a previous laminectomies (in 2-17) on L5-S1. He is being brought back to have a revi... [ Read More ]

Quick Question for an EOB

Hello all, We received payment from BCBS PPO for Redo Lumbar 4-5 Laminectomy L4-5 TLIF. The office billed CPT codes 22633-22, 22842, 22853, 63042, 63044, 63056, 60057 and all got paid for but CPT cod... [ Read More ]

Hemilaminotomy billing question.....

The scenario is this..... Dr. dictates procedure done is "hemilaminotomy, T9-T11, for left-sided T9-10 & T10-11 microdiscectomy" So my coding brain goes to the index of my CPT code book, looks up "he... [ Read More ]

Scs revision with laminectomy???

Below is from AMA CPT Change 2010, as seen below CPT 63664 includes the work of: "Scar tissue and additional bone removal around the prior laminectomy site, along with dissection of the epidural sp... [ Read More ]

63042 - Reexploration

We are in need of documentation on when it is appropriate to use the reexploration codes 63042- 63044. If anyone has any documentation on this it would be greatly appreciated.... [ Read More ]

Re-entry laminectomy

This patient had an L2-3, 3-4 laminectomy in 2010. This was coded as 63267, 63047, 63047 by previous billers. Only the 63267 was allowed. (That may not be useful information, but I included it just in... [ Read More ]

63042 vs 63047 or both ???

[b]63042 vs 63047 or both ??? please help ![/b] Reoperation to previously operated lumber spine L4-5. Physician coded as 63042 63044, 63044. He believes he can charge this because he is only goin... [ Read More ]

spine surgery questions, help!

I am billing a very similar case where the Laminectomy 63047 was done for decompression of the nerve roots due to severe stenosis along with the fusion. I am in NC and I am billing for a BCBSNC patie... [ Read More ]

Help with back surgery

63042 is the correct code, 63042 is for a redo. Please note that the description for cpt 63042 is "Laminotomy (hemilaminectomy), with decompression fo nerve root(s), including partial facetectomy, fo... [ Read More ]

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