AMA CPT® Assistant - 2002 Issue 11 (November)

Nervous System (November 2002)

November 2002 page 11 Coding Consultation:Questions and Answers Nervous System, 63047 (Q&A) Question If a physician performs a diskectomy with a laminectomy, facetectomy, and foraminotomy, including decompression of the spinal cord at the L-5 level, but no arthrodesis, how should the diskectomy be reported? AMA Comment Code 63047, Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve roots(s), (eg, spinal or lateral recess stenosis)), single vertebral segment; lumbar, should be reported with modifier '-22,' Unusual Procedural services, appended. Modifier '-22' identifies the additional effort involved in performing the diskectomy. Nervous...

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