tci Part B Insider - 2011 Issue 20

Reader Question: MILD Procedure Requires Unlisted Code

Question: What is the best CPT® code for minimally invasive lumbar decompression (MILD)?Indiana SubscriberAnswer: CPT® does not include a code specifically for MILD, so you'll choose between two 'unlisted' codes: 22899 (Unlisted procedure, spine) or 64999 (Unlisted procedure, nervous system). Coders sometimes ask if 63030 (Laminotomy [hemilaminectomy], with decompression of nerve root[s], including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, including open and endoscopically-assisted approaches; 1 interspace, lumbar) can be used for MILD. The answer is no because of the difference in what MILD represents and the descriptor for 63030. The MILD procedure is a fluoroscopically...

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