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Should two codes be assigned when a decompression laminectomy and facetectomy are performed at the same level?

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Should two codes be assigned when a decompression laminectomy and facetectomy are performed at the same level?

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Only one code should be assigned for a decompression laminectomy and facetectomy of the same level. Suggest code 03.09 for “Other exploration and decompression of the spinal cord. ” Code 77.89 should not be billed as there is an exclusion note under the code 77.x heading stating that this range of codes excludes laminectomy for decompression (03.09). Are both discectomy and removal of disc fragments included in code 80.51, “Excision of intervertebral disc?

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