February 10th, 2017
Question: What is the proper code for "Lumbar Decompression?
Answer: We have it under 97012 which includes mechanical cervical traction and lumbar traction. 97012 is the mechanical traction code and is often appropriate to use when reporting spinal decompression. However, individual payers may require that S8990 is used. The S8990 may not be reimbursable, but the 97012 has a relatively low RVU. To know which code to use, you would need to review the individual payer policy. Diagnoses that would likely be associated with this service should indicate adhesions, inflexibility, or compression, such as radiculopathy or disc problems.