AMA CPT® Assistant - 2011 Issue 11 (November)

Surgery: Musculoskeletal System (Q&A) (November 2011)

November 2011 page 10 Surgery: Musculoskeletal System Question: May both code 63056, Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disk), single segment; lumbar, and code 22630, Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; lumbar, be reported for the same interspace/segment? Answer: No. To report both codes 63056 and 22630 for the same interspace/segment would represent duplicative work. For posterior (PLIF) or transforaminal (TLIF) approach lumbar interbody fusions, CPT code 22630 is used, and the dissection needed to access the disc space in...

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