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CPT® Code 63030 - Posterior Extradural Laminotomy or Laminectomy for Exploration/ Decompression of Neural Elements or Excision of Herniated Intervertebral Disks Procedures - Codify by AAPC
The procedures to be coded are the posterior lumbar interbody fusion, discectomy, and harvesting of bone graft. The code for the posterior lumbar fusion is 0SG107J, with the device value being 7 for autologous substitute.
Spinal procedure coding can be daunting for coders. The spine itself can be quite complicated anatomically and the procedures done to address spinal conditions can be even more complicated! HIA has developed an educational Action Plan to address one of these areas, spinal decompression coding. Below are a few excerpts from that Action Plan.
The Current Procedural Terminology (CPT ®) code 63050 as maintained by American Medical Association, is a medical procedural code under the range - Posterior Extradural Laminotomy or Laminectomy for Exploration/ Decompression of Neural Elements or Excision of Herniated Intervertebral Disks Procedures.
Revision of Interbody Fusion Device in Cervical Vertebral Joint, Percutaneous Approach. ICD-10-PCS 0RW13AZ is a specific/billable code that can be used to indicate a procedure.
Cervical laminectomy Laminectomy is surgery that creates space by removing the lamina — the back part of a vertebra that covers your spinal canal. Also known as decompression surgery, laminectomy enlarges your spinal canal to relieve pressure on the spinal cord or nerves.
In the HCPCS coding system, there is a code to describe "vertebral axial decompression," and that code is S9090.
The root operation used to report the decompression is “release.” The definition of release in ICD-10-PCS is “freeing a body part from an abnormal physical constraint by cutting or by use of force.” This means that the restraining tissue may be removed but none of the body part being compressed is taken out.
Cervical laminotomies are performed to relieve pressure on a compressed spinal nerve in the neck. Removal of bone spurs or disc herniations usually relieves the associated neck and arm pain.
A posterior cervical decompression is an operation to relieve pressure on a nerve or spinal cord in the neck via a scar on the back of the neck.
Use CPT 63045 for cervical or CPT 63047 for lumbar, with additional levels billed with add-on Code +63048 unilateral or bilateral. In this procedure, the physician removes the spinous process. If the stenosis is central, the lamina may be removed out to the articular facets using a burr.
HCPCS Code S9090 S9090 is a valid 2022 HCPCS code for Vertebral axial decompression, per session or just “Vertebral axial decompressio” for short, used in Other medical items or services.
Spinal decompression therapy involves stretching your spine using a manual or motorized traction table to help ease neck, back, or leg pain. It is a non-surgical technique to relieve pressure on your spinal discs and spinal nerves.
Cervical decompression surgery is a procedure that removes any structures compressing the nerves in the neck. The cervical section of the spine begins at the base of the skull and supports the neck.
The procedures In a laminotomy, your doctor makes a hole in the lamina and removes a small piece of the bone. In a laminectomy, your doctor removes most of the bone.
Postlaminectomy syndrome, not elsewhere classified M96. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM M96. 1 became effective on October 1, 2021.
Certain injuries and disorders may put pressure on the spinal cord itself or of spinal nerve roots which arise from the spinal cord and pass through spaces between the vertebrae. These conditions that cause compression can include:
There are differing procedures that can accomplish decompression of the spinal cord or spinal nerve roots.