Laminoplasty

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May 15, 2014

Question:

My surgeon did a C2-C7 laminoplasty and reconstructed with mini-plates. What code should I use?

Answer:

This procedure is covered using CPT 63051 (Laminoplasty, cervical, with decompression of the spinal cord, 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and non-segmental fixation devices (e.g., wire, suture, mini-plates), when performed). CPT 63051 includes all levels of laminectomy required for the laminoplasty. It is not accurate to also bill a laminectomy code such as 63001 or 63015 for procedures at the same level(s). CPT 63051 also includes placement of any instrumentation, such as the mini-plates, so do not also report an instrumentation code like 22842.