Also, CPT Assistant May 2018, Volume 28 states the following:
IFACTOR HEALTH FULL
So, it is defendable to report a full decompression separately when there is good documentation and indication. However, it’s important to note that the code descriptions for both 2263 state “other than for decompression”. The issue is that CPT 63047 bundles with both 22630, 22633. First of all, CPT 63047 does not bundle with 22612, so that’s an easy yes, you can bill both. It just is confusing because the lumbar fusion codes do not include the decompression part of the procedure.Ī: This is probably the biggest controversy in CPT spinal fusion coding.
It seems they are often denied when reported with lumbar spinal fusions. Q: Do you happen to know if laminectomy procedures like 63047 if they can be charged out with lumbar spinal fusions. You would select either 63001-630017 or 63045-63048 depending on elements removed during decompression. Q: Can we code 63042 for revision decompression with no discectomy?Ī: No, a discectomy is required to report 63042. Q: Can we code 20930 for iFactor bone graft used with interbody device?Ī: Yes, it’s appropriate to report any separate grafting material used with an interbody device.
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