In October 2016, the organization’s FAQ stated CPT Codes 63047 and 22633 couldn’t be reported at the same interspace; the update in May 2018 states the two codes can be reported in the same interspace “when additional work is required to complete the decompression at a single spinal level.”
ISASS has advocated for this change along with other specialty societies.
The two codes cover:
• CPT 62047: Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace and segment; lumbar
• CPT 22633: Laminectomy, facetectomy and foraminotomy (unilateral or bilateral) with decompression of spinal cord, cauda equine, and/or nerve root[s], [eg spinal or lateral recess stenosis]), single vertebral segment; lumbar
ISASS noted private payers may have edits in effect bundling the affected codes.
More articles on spine surgery:
The best strategies to discuss complicated information with spine patients
A spine registry for the people: Q&A with Dr. Daniel Resnick
US News: Top 25 hospitals for pediatric neurology and neurosurgery
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.