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AHA Coding Clinic® for HCPCS - 2018 Issue 4; Ask the Editor

CPT code 63047

Our facility has a concern regarding when it is appropriate to report CPT code 63047, Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equine and/or nerve root(s), [e.g., spinal or lateral recess stenosis]), single vertebral segment; lumbar. The concern is that the advice from Coding Clinic for HCPCS, Third Quarter 2009, p. 16 and CPT Assistant, December 2012, p. 13 differs. The advice from Coding Clinic states that code 63047 does not include the discectomy while the advice in CPT Assistant states the discectomy is included. Can you please clarify whether 63047 includes a discectomy procedure or not? ...

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