Revision laminectomy
Which code would be more appropriate 63042 or 63047? The diagnosis is spinal stenosis.
The operative report states there was extensive scar tissue of L4, which was slowly dissected, and the remaining lamina was removed performing a complete laminectomy of L4. The foramen was extremely tight at this juncture, and a medial facetectomy was performed. This was continued laterally with a combination of double action rongeurs and Kerrison rongeurs until the foramina probed freely bilaterally.
Which code would be more appropriate 63042 or 63047? The diagnosis is spinal stenosis.
The operative report states there was extensive scar tissue of L4, which was slowly dissected, and the remaining lamina was removed performing a complete laminectomy of L4. The foramen was extremely tight at this juncture, and a medial facetectomy was performed. This was continued laterally with a combination of double action rongeurs and Kerrison rongeurs until the foramina probed freely bilaterally.
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