Minimally Invasive Spine Surgery



We are just starting to do minimally invasive spine surgery through a tubular retractor system. One of the procedures we do is multi-level decompression through separate skin/fascial incisions. For example, we will do left L5-S1, right L5-S1, left L4-L5, and right L4-L5 procedures through separate incisions. I’ve been told we can bill the decompression code four times since there are four separate incisions. Is this correct?


No, this advice is not correct. You will code the case just as you would if performed via an open approach. This means you’ll use a single stand-alone code (e.g., 63047) and any appropriate add-on codes (e.g., 63048) as appropriate.