AMA CPT® Assistant - 2002 Issue 9 (September)

Surgery/Nervous System (September 2002)

September 2002 page 10d Coding Consultation:Surgery/Nervous System Nervous System, 63030 (Q&A) Question We received a denial from the payor stating that code 63030 is a bilateral procedure. Per CPT, is this a unilateral or bilateral procedure? AMA Comment CPT code 63030, Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disk; one interspace, lumbar (including open or endoscopically-assisted approach), is a unilateral code. As stated in the parenthetical note following code 63030, modifier '-50,' Bilateral procedure, should be used to identify a bilateral laminotomy (hemilaminectomy). Surgery/Nervous System (September 2002). CPT®...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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