Table of Contents
What is the CPT code 63030?
CPT Code 63030 is defined as laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; one interspace, lumbar (including open or endoscopically-assisted approach) and; Code 63047, laminectomy, facetectomy and …
Does 63030 need a modifier?
As to CPT 63030, claimant supplies NCCI materials that support the primary code CPT 63047 (highest value procedure) in column 1 lists CPT 63030 in column 2 with an inidcator of “1” and thus, requiring a modifier.
Is 63047 a bilateral procedure?
According to the CPT description of 63047 is can be unilateral or bilateral.
What is a hemilaminectomy surgery?
A hemilaminectomy is a spine surgery that involves removing part of one of the two laiminae on a vertebra to relieve excess pressure on the spinal nerve(s) in the lumbar spine, or lower back. A hemilaminectomy can be performed to relieve symptoms such as back pain and radiating leg pain.
What does CPT code 63047 mean?
CPT® Code 63047 in section: 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.
How long is hemilaminectomy take?
Though less invasive than a laminectomy, hemilaminectomy surgery is often an inpatient procedure. Typically, a hemilaminectomy takes around 70-85 minutes, and patients are usually required to stay overnight and are discharged the next day following the procedure.
What is the recovery time for a hemilaminectomy?
Complete recovery may take 4 to 6 weeks or a few months after a lumbar laminectomy depending on the age and general health of the patient and the number of segments treated.
What is CPT code 63035+?
Based on the 2004 CPT manual code 63035+ is an add on code and is to be used in conjunction with codes 63020 and 63030. If 63020 and 63030 are appropriate for submission with 63043 and 63044—then code 63035 follows the same guidelines as listed in the CPT manual for codes 63020 and 63030.
Is code 63042 a component code to code 22630?
Based on the National Correct Coding Initiative Edits, code 63042 is not listed as a component code to code 22630.
What is the payment policy for CPT codes 63042 and 63047?
CMS payment policy does not allow separate payment for CPT codes 63042 (laminotomy…; lumbar) or 63047 (laminectomy…; lumbar) with CPT codes 22630 or 22633 (arthrodesis; lumbar) when performed at the same interspace.
What is the difference between a 63048 and a 63047?
Since 63048 is an add on code that only may be reported along with 63047, 63048 follows the same rationale that is used with 63047. Therefore, if 63047 and 63048+ are submitted with 22630—only 22630 reimburses