Laminectomy/Spinal Fracture

dm122482dm122482
in Orthopedics
Is it appropriate to bill a 63003 and 63056 with 22327? I've seen documentation that the laminectomy is incorporated with the fracture code.

PostOp DX: L1 fracture with T12/L3 fracture dislocation

Partial T12 and L1 laminectomy was performed. Partial L1 corpectomy including right sided pediculectomy was performed for better reduction and decompression, right sided pedicle and anterior vertebral body is a single free floating pieace. After removing the free floating piece, spinal cord looks completely decompressed both anteriorly or posteriorly. Once all the screws were in position, the rods were bent to fit the thoracolumbar junction and the fracture was reduced and stabilized to the rods.

Delynn Merrick, CPC
OUHSC
Dept of Orthopedics/ORL

Comments

  • dm122482dm122482
    I realize that it's Friday before the Memorial Day Weekend break but I was just wondering if anyone had an answer?

    Thanks,

    Delynn Merrick, CPC
    OUHSC
    Dept of Orthopedics/ORL
  • bfontainebfontaine
    edited May 2017
    According to Code-X the laminectomy is bundled.
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