CPT^® 63052, 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 63052 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 lumbar posterior interbody arthrodesis (joint fusion), the provider performs laminectomy, facetectomy, or foraminotomy on a single vertebral segment for decompression.

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63052

Can you report 22633 with the new code 63052? It states in the cpt manual to prepare interspace but then it states you can report it when a decompression was performed. Just to clarify that I can repo... [ Read More ]

TLIF & PLIF

No 22 it would have to be clearly documented at the time of the procedure that it was increased. It's a two level interbody. 22633, 22634, 22842, 22853x2, 20930 (if payer covers), yes you could add 63... [ Read More ]

TLIF & PLIF

I need to do a prior authorization for a TLIF at L4-5 and a PLIF at L5-S1, I have coded for a PLIF by itself and a TLIF by itself but never together. PLIF and TLIF are both coded with 22633. I do n... [ Read More ]

Laminectomy

63053 is an add on code for 63052 63052 as long as documentation is there to support it. From the 2022 CPT changes book, "Meaning more extensive decompression beyond the typical dissection needed to... [ Read More ]

Spine surgery

[QUOTE="mandyh, post: 509609, member: 593441"] Has anyone coded 22633 and 63052 for a Posterior Lumbar Interbody Fusion (PLIF)? I know 63047 is included in 22633 but can you code 22633 and 63052 tog... [ Read More ]

Spine surgery

[QUOTE="amyjph, post: 508965, member: 172045"] Tough to say without the op note. Correct advice above, you can't code 22612 with 22633 per NCCI edits and guidelines. Read the NCCI manual Chapter IV mu... [ 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

Has anyone coded 22633 and 63052 for a Posterior Lumbar Interbody Fusion (PLIF)? I know 63047 is included in 22633 but can you code 22633 and 63052 together and get reimbused for both?... [ Read More ]

Spine surgery

Tough to say without the op note. Correct advice above, you can't code 22612 with 22633 per NCCI edits and guidelines. Read the NCCI manual Chapter IV musculoskeletal guidelines. L4-5 TLIF 22633 cage/... [ Read More ]

Spine surgery

Please tell me if I have coded this correctly and if I am missing any codes: T-Lif at L4-5 with implant 22633,22840,22853 and new code 63052 and 15777. Then he is going to do posterior lateral fusion ... [ Read More ]

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