lindaconway
Networker
This patient had an L2-3, 3-4 laminectomy in 2010. This was coded as 63267, 63047, 63047 by previous billers. Only the 63267 was allowed. (That may not be useful information, but I included it just in case.)
In June of this year he had an L1-2, 2-3 laminectomy.
How to bill this? Re-entry 63042, 63044? Or laminectomy 63030, 63035?
Our surgery scheduler prior authorized 63030, one level, because that's what the doctor originally ordered, although his notes dictated both levels. We billed 63042, 63044 and his insurance company is not paying at the network level due to "non-authorization."
Can we submit a corrected claim for the 63030 since the originally ordered level was not re-entry?
I am open to any and all help as we are struggling with how best to bill this (and future) surgeries when we encounter this situation. Thank you.
In June of this year he had an L1-2, 2-3 laminectomy.
How to bill this? Re-entry 63042, 63044? Or laminectomy 63030, 63035?
Our surgery scheduler prior authorized 63030, one level, because that's what the doctor originally ordered, although his notes dictated both levels. We billed 63042, 63044 and his insurance company is not paying at the network level due to "non-authorization."
Can we submit a corrected claim for the 63030 since the originally ordered level was not re-entry?
I am open to any and all help as we are struggling with how best to bill this (and future) surgeries when we encounter this situation. Thank you.