My Doctor performed a L3 Laminectomy w/partial med and lat facetectomy and decompression for Spinal Stenosis AND he also lists a L3 left sided Diskectomy and foraminotomy. He suggested to code out 63047 and 63030-59...Insurance denied 63030. Can this be appealed or should it have been coded as 63047 and 63048 or just 63047...I would really appreciate any input on this subject...thank you Liz
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Wiki Cpt 63030 with 63047
- Thread starter Dizzylz
- Start date
paulcado
New
HI Liz,
Per CPT Assistant 63030 for the discectomy is included in the 63047 (spinal stenosis) when performed at the same level, so 63047 should be only code reported for this scenario.
63047 and 63030-59 may both be reported when these separate procedures are performed at different levels. For example: decompression of stenosis at say L4-L5 and then a discectomy at L5-S1.
Per CPT Assistant 63030 for the discectomy is included in the 63047 (spinal stenosis) when performed at the same level, so 63047 should be only code reported for this scenario.
63047 and 63030-59 may both be reported when these separate procedures are performed at different levels. For example: decompression of stenosis at say L4-L5 and then a discectomy at L5-S1.
