Wiki laminectomy & PLIF

[brocal1979]

can you code BOTH a 22630 & 63047 on same level & get paid?

 

[lindaconway]

No.
22630 reads, "Aarthrodesis, posterior interbody technique, including laminectomy and/ordiscectomy to prepare interspace...." etc.

 

[sarab86]

The only time you can is when you are doing additional decompression work beyond that required for the PLIF, i.e. facetectomy or foraminotomy. You would need a modifier 59 on 63047. BUT CMS now says they won't pay regardless. AANS is appealing that decision.