CPT^® 63078, Under Anterior or Anterolateral Approach for Extradural Exploration/Decompression Procedures on the Spine and Spinal Cord

The Current Procedural Terminology (CPT^®) code 63078 as maintained by American Medical Association, is a medical procedural code under the range - Anterior or Anterolateral Approach for Extradural Exploration/Decompression Procedures on the Spine and Spinal Cord.

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Summary

In this add on procedure, the provider repairs another herniated thoracic disc. A thoracic herniation causes pain which, depending on the type of herniation, may concentrate in the upper back, radiate to the chest or abdomen or result in myelopathy, the inflammation and swelling of the spinal cord.. The surgeon decompresses the nerve roots or spinal cord by removing all or a portion of the herniated disc. He uses grafts to fill the empty space created by the removal of the disc.

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misprint?

In the 2015 OPTUM Neurosurgery guide to coding and reimbursement under CPT 22551 under coding tips it states "If a complete discectomy is performed, report separately and append modifier 59 or X(EPSU)... [ Read More ]

MLD Help

You may not get paid for 69990 but the work was done so it should be billed. CPT guidelines state 69990 is not to be used with spine codes 22856-22861, 63075-63078 and 64727. Bill to all payors when... [ Read More ]

HELP!! Anterior Lumbar Fusion with COMPLETE Diskectomy

Hi, I have 2 questions & I greatly appreciate any feedback I can get! 1.) If a provider performs an ANTERIOR approach lumbar fusion (L4-5 & L5-S1) with COMPLETE diskectomy, is it appropriate to repor... [ Read More ]

Neurology add on

the only guidance my book gives is Do not report with (15756-15758, 15842,19364,19368,20955-20962,20969-20973,22551-22552,22856-22861,26551-26554,26556,31526,31531,31536,31541,31545-31546,31561,31571... [ Read More ]

Spinal fusion

[b]22551[/b] I thought I had 22551 down pat - but have come across coding tips in Coding Companion 2011 for that code that reads "If complete discectomy is performed, report separately and append mod... [ Read More ]

Lumbar discectomy WITH decompression.

Unfortunately that is the posterior approach. I did find out that the unlisted code is appropriate, however 64999 would be a little more appropriate. The procedure is similar to 63075-63078 but there... [ Read More ]

69990-operating microscope - Did anyone ever get

[b]Per CPT book[/b] "The surgical microscopy is employed when the surgical services are performed using the techniques of microsurgery. Code 69990 should be reported (without modifier 51) in addition... [ Read More ]

C5 C6 Osteophyte

Not sure what approach your physician took but have you looked at 63075? Also, keep in mind... The CPT Assistant (January 2001, Vol. 11, No. 1) states: “For both codes 22554 and 22630, if the surg... [ Read More ]

Posterior Lumbar Interbody Fusion

[QUOTE="Yoli, post: 95067, member: 59643"]In the 22630 the laminiectomy is mentioned as included and it has to do with "[U]preparation"[/U] of the fusion. But if the laminectomy is performed for othe... [ Read More ]

Disc decompression with excision

I disagree with 63077 & 63078. Based on what is documented, I would go with 63046 & 63048. Just curious.....how are they doing an "anterior approach" when patient is positioned prone?... [ Read More ]

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