AMA CPT® Assistant - 2018 Issue 5 (May)

Surgery: Musculoskeletal System (Q&A) (May 2018)

May 2018 page 10 Surgery: Musculoskeletal System Question: How do I report decompressive laminotomy/foraminotomy when performed with an interspinous process distraction device placement and fusion at the same level (eg, L5/S1)? Answer: Current Procedural Terminology (CPT®) code 63047, Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar, should be reported for the decompressive laminotomy/foraminotomy. Code 22899, Unlisted procedure, spine, should be reported separately for the interspinous process distraction device placement and fusion because there is no specific code that accurately...

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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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