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Wiki Laminotomy with augmentation and bone marrow aspiration

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7
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Hagaman, NY
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Please help. I have a doctor who performed a bilateral L4/L5 revision laminotomy, posterior approach with a right L4/L5 posterior facet augmentation with local bone autograft, without instrumentation and a L4/L5, L5/S1 intradiscal injection of bone marrow aspiration.

I code 63042-50 - revision laminotomy, 22612-facet augmentation, 20936 - autograft, 38220- for bone marrow aspiration, and 62290 (twice) for the injection of bone marrow.

I am getting edits (3M software) stating that 38220 is paired with 22612 and 63042 and is not appropriate even with a modifier. Also, 62290 is paired with 63042 and is not appropriate even with a modifier.

I have coded these codes together in the past and have never had an issue. But because of these edits this claim is showing as No APC's.

Has anyone else have this problem or if you can help, I would greatly appreciate it.

Thank you in advance.
 
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