I am a new coder at a spine/ortho ASC. The doctor here routinely performs laminectomies and discectomies, and dictates them in the op report as microdiskectomy and laminectomy for decompression. My question is- can these procedures be separately reported? For example, an L2-3 laminectomy and L2-3 discectomy. The current practice has been to report 63030 and 63047. I have seen previous claims were both were reported but I am not getting a clear answer on whether or not this is allowed.
Apppreciate any advice!
Here is a sample from a typical op report if it helps:
PREOPERATIVE DIAGNOSES:
1. L2-3 disk herniation.
2. Lumbar stenosis.
POSTOPERATIVE DIAGNOSES:
1. L2-3 disk herniation.
2. Lumbar stenosis.
OPERATIONS PERFORMED:
1. L2-3 laminectomy for decompression.
2. L2-3 microdiskectomy.
3. Annular repair.
4. L2-3 facet fusion with allograft bone.
Apppreciate any advice!
Here is a sample from a typical op report if it helps:
PREOPERATIVE DIAGNOSES:
1. L2-3 disk herniation.
2. Lumbar stenosis.
POSTOPERATIVE DIAGNOSES:
1. L2-3 disk herniation.
2. Lumbar stenosis.
OPERATIONS PERFORMED:
1. L2-3 laminectomy for decompression.
2. L2-3 microdiskectomy.
3. Annular repair.
4. L2-3 facet fusion with allograft bone.
