63047 w/22630 or 22633

edited May 2017 in Orthopedics
Good morning all,
I have shared Chapter 4 of the CCI with my spine surgeon regarding the bundling of 63042 and 63047 with 22630/22633.
He vehemently disagrees (weekly) but I told him there's nothing we can do. Unless the decompression is at a different level it isn't billable to Medicare.

He asked this morning if I would reach out to the coding community to see if the CCI edit has been overturned.
Anyone hear anything different about this situation ?



  • edited May 2017
    They have not been over-turned but tell him to write into CCI and given
    them reason why it should be over-turned. He can contact them (really anyone
    can) and ask for changes.

    Margie Scalley Vaught, CPC, COC, CPC-I, CCS-P, MCS-P, ACS-EM, ACS-OR
    Auditing, Coding, Documentation and Compliance Consulting
    Healthcare Consultant
    _scalley123@aol.com_ (mailto:scalley123@aol.com)
    cell 360-880-8304
    fax 413-674-7668
    _www.margievaught.com_ (http://www.margievaught.com/)
    facebook: margie s vaught
    for workshops and audio_ http://www.margievaught.com/calendar/index.cfm_
    Want to receive a monthly newsletter - signup on _margievaught.com_
    Check the calendar for audios/webinars and live presentations already
    scheduled - 2016 
  • edited May 2017
    I understand that works for commercial carriers, it’s the ones that follow CCI that are frustrating.
Sign In or Register to comment.