CPT^® 63048, 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 63048 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

At the same session as laminectomy, facetectomy, and foraminotomy on an initial segment for decompression, the provider performs the procedure on an additional vertebral segment.

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63047 or 63030

Agree with the advice above. It depends on the intent of the procedure. Was it done for a herniated disc or was it done for stenosis? Many times these two can occur at the same location and these can ... [ Read More ]

Back case TLIF

[QUOTE="amandamkcj, post: 505981, member: 270371"] TLIF with posterior spinal fusion L4-5 and L5-S1= 22633 22634 22853X2 Instrumentation L4-S1= 22842 Decompressive lami with F and F L4-5, L5-S1--assum... [ Read More ]

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 ]

63045 or 63045 and 63048

I would appreciate any help anyone can give me. Per op note: Under loupe magnification, I removed the lamina and medial facet from c3 through C4 bilaterally. The spinous processes and lamina were re... [ Read More ]

Foraminotomy stand alone procedure

[QUOTE="julyagroves, post: 410838, member: 361653"] [B]Reply from NASS[/B] We submitted this question and the NASS coding Committee recommended that we code a 63045 and 63048 because two nerve roots... [ Read More ]

Posterior Thoracic Surgery T4 - T8

I'm new to Neuro Surgery and have this situation: Posterior Thoracic surgery on T4 - T8: 1. 63046 + 63048 X2.......Laminectomy T4,T6,T8 With 2. 63281 x 2 ..........................HemiLaminectomy... [ Read More ]

63047 vs 63030

I believe the 63047 you have is correct but I think it also needs an add on code of +63048 for the additional interspace. CPT code +63035 is an add on code and can't be coded separately. The code for ... [ Read More ]

63047 and 63056-59

My question is provider dictation codes 63047 for L4/5, he also wants to bill 63056-59 for L5/S1 due to different level and approach. I attended a webinar KZA, 2 years ago that states when decompressi... [ Read More ]

Redo Laminectomy

Patient had left laminectomy a year ago, now patient is going into surgery again for right side laminectomy on same level as previous surgery. My Dr is wanting to bill 63042. My thought is procedure w... [ Read More ]

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