On further analysis of this issue, it was demonstrated that this recommendation was inconsistent with previously published CPT® Assistant advice, which is that codes 2267 may be reported for the same interspace when additional work is required to complete a decompression at a single spinal level. “In the Frequently Asked Questions (FAQ) section (page 11) of the October 2016 issue of CPT® Assistant, the Surgery: Nervous System answer incorrectly stated that codes 22633, Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/ or discectomy sufficient to prepare interspace ( other than for decompression), single interspace and segment lumbar, and 63047, Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root, ), single vertebral segment lumbar, may not be reported for the same interspace. Also, CPT Assistant May 2018, Volume 28 states the following:
#Ifactor workbook full
So, it is defendable to report a full decompression separately when there is good documentation and indication. However, it’s important to note that the code descriptions for both 2263 state “other than for decompression”. The issue is that CPT 63047 bundles with both 22630, 22633. First of all, CPT 63047 does not bundle with 22612, so that’s an easy yes, you can bill both. It just is confusing because the lumbar fusion codes do not include the decompression part of the procedure.Ī: This is probably the biggest controversy in CPT spinal fusion coding. It seems they are often denied when reported with lumbar spinal fusions. Q: Do you happen to know if laminectomy procedures like 63047 if they can be charged out with lumbar spinal fusions.
You would select either 63001-630017 or 63045-63048 depending on elements removed during decompression. Q: Can we code 63042 for revision decompression with no discectomy?Ī: No, a discectomy is required to report 63042. Q: Can we code 20930 for iFactor bone graft used with interbody device?Ī: Yes, it’s appropriate to report any separate grafting material used with an interbody device.
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