tci Outpatient Facility Coding Alert - 2016 Issue 6

You Be the Coder: Be Sure to Count Every Laminotomy

Question: How do we report if the surgeon takes a paramedian approach and does osteotomies to remove the inferior aspect of the L4-L5 facet and part of the superior aspect of the superior L5 facet. Partial laminotomy was also completed using Kerrison rongeurs in a delicate fashion. Upon completion, the nerve root could be seen exiting the foramen at L4-5. The traversing nerve root was also free of compression and there was no excessive bleeding. The patient had a previous RT L4-L5 laminotomy as well? Florida Subscriber Answer: You report code 63042 (Laminotomy [hemilaminectomy], with decompression of nerve root[s]...

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