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Tag Archives: 63047

63047 and 63048

Posted on by
I’m wondering if I can get some clarification. We have a bill for a Laminectomy of L3/L4 and L4/L5, parial medial facetectomies at L3/L4 and L4/L5 and foraminotomies of L3, L4, and L5.
There is an arguement over proper coding.

Option 1 or Option 2
63047 63047
63048 63048
63048

I think that option 1 is correct because 3 nerve roots were worked on.

Thoughts?

Medical Billing and Coding Forum

63047 And 63267 billed in same op session???

Posted on by
I have a neurosurgeon who is trying to send through 63047 and 63267, different levels, same op session. My experience has been with carriers, even with a 59 modifier on 63047, they deny as bundled. Any suggestions or pointers on how to code this? Thank You.

L2-L3 Laminectomy for alleviation of epidural lipomatosis

L3-L4 Laminectomy with bilateral foraminotomies for removal of synovial cyst

L4-L5 Laminectomy with bilateral foraminotomies for severe central stenosis

Medical Billing and Coding Forum

CPT 63047 and 22630 denials for COMMERCIAL carriers

Posted on by
I am familiar with the CCI Edit for 63047/63048 with 22630 or 22633 and understand how
it applies for work at the same level. My question is are other practices experiencing denials from commercial carriers and are you successfully appealing them? Any updated information on this would be appreciated. Frustrated here in Florida.

Medical Billing and Coding Forum