Laminoplasty and Laminectomy Surgical Auditing/Coding

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Gibbons86
Posts: 5
Joined: Thu Mar 29, 2018 8:55 am

Wed Oct 16, 2019 1:18 pm

Provider billing 63051 Cervical Laminoplasty with reconstruction using plates and screws from C4-C6. He also used modifier 59 for separately billing 63045 and 63048 for partial Laminectomy at C3 and C7. Please assist me in finding if this documentation supports both codes separately with modifier. These codes do bundle and 63051 includes laminectomy, graft, and plates at the same vertebral segments. Thanks!

A Partial Laminectomy was performed at the caudal portion of the C3 Lamina. the C3-4 ligamentum flavum was resected in its entirety. A partial laminectomy was performed at the cranial portion of C7 Lamina. Ligamentum flavum at C6-7 was resected in its entirety.
A Full thickness trough was created on the left side and lamina of C4 C5 and C6. the ligamentum flavum was detached at each level. a partial thickness trough was created on the right of C4 C5 and C6 lamina. C4-C6 was gently opened. Laminoplasty plates and screws were placed at c4 C5and c6. matchstick bur used to resect remaining spinous process and resect cranial portion of C5 and C6.
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