CPT^® 63277, Under Excision by Laminectomy of Lesion Other Than Herniated Disk Procedures

The Current Procedural Terminology (CPT^®) code 63277 as maintained by American Medical Association, is a medical procedural code under the range - Excision by Laminectomy of Lesion Other Than Herniated Disk Procedures.

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Summary

In this procedure, the provider removes a portion of the lumbar vertebra and excises an extradural growth of the spinal cord, sending a portion of the lesion for testing. Extradural means outside the dura, the tough outer membrane surrounding the central nervous system.

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63047 And 63267 billed in same op session???

L2-L3 Laminectomy for alleviation of epidural lipomatosis - 63277 L3-L4 Laminectomy with bilateral foraminotomies for removal of synovial cyst - 63267 L4-L5 Laminectomy with bilateral foraminotomies... [ Read More ]

Need opinions regarding coding.

We had a patient who had a synovial cyst on both sides of the lumbar spine , severly adherent to the thecal sac. We would like opinions on how to code. He coded 63277-22. Is there a better way to code... [ Read More ]

22633 with 63277

[b]63277[/b] 63277 is a Laminectomy code. If a fusion was performed to replace the bone removed a fusion code 22612 would be efficient and justifiable for reimbursement. 63277 22612-59... [ Read More ]

laminectomy with biopsy and neuromonitoring

Hi, I was wondering if the surgeon is doing an epidural AND neuromonitoring during his hematoma removal and his laminectomy of T6 through L1, with a biopsy of the hematoma removal, would I only code t... [ Read More ]

Can I bill both 63277 and 63276?

Doctor removed a cystic lesion from L1 and part of T12. He wants me to bill both 63277 and 63276. But from what I read, it sounds like "contiguous" levels and that I should only bill the primary lev... [ Read More ]

Billing CPT 63277 and 63276

In order to bill both 63277 and 63276 in the same surgery, the vertebral levels have to be separated, right? Can my doctor bill both codes when the procedures are performed at L1 and T12?? To me, ... [ Read More ]

22633 with 63277

My physician did a 63277 (removal of mass) at L4 and 22633 (interbody fusion) at L4-L5 as that area was also very degenerated. He is saying that as both were distinc and separate, both can be billed.... [ Read More ]

lumbar tumor excision

Take a look at the corpectomy codes 63087-88 or 63090-91, depending on the approach. The note doesn't state the type of tumor, and 63277 is laminectomy which would be a posterior approach, and the not... [ Read More ]

lumbar tumor excision

I am unsure of how to bill the following lumbar tumor excision. I keep going to 63277 but that does not seem correct. Any help is appreciated! TIA!! Once the L3 was confirmed as well as the disk s... [ Read More ]

Do I need modifier 76?

Do I need the 76 modifier on the 2nd procedure? Both were done on the same day, by the same dr but different incisions. The same dx codes apply for both... 1st procedure: 63303 63047- 51, 59 63048 x 2... [ Read More ]

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