neurosurgery of burst fracture
Category: Health > Medicine
Asked by: khanmaria-ga
List Price: $50.00
03 Mar 2004 17:39 PST
Expires: 02 Apr 2004 17:39 PST
Question ID: 313140
What is the CPT code for a "laminectomy of T11 and T12 with reduction of T12 vertebral body bone fragments." The diagnosis was burst fracture of T12 . The op report reads: I removed the posterior spinous process of T12and a portion of the Posterior spinous proces of T11. The lamina of T12 and portion of the lamina of T11 wee removed in the following fashion. I used a Ledksell to carefully thin the bone down and then used the drill to finish drilling dow to the yellow ligament. The ligament was carefull traversed and removed piecemeal. Laminectom was carried out to the pedicle on both sides exposing the thecal sac from the disc space of Tll, l2 and just aboveto the dsc\sc space of T12 and L1. I will appreciate an answer to this question as it will settle an argument once and for all. Thank ou
Re: neurosurgery of burst fracture
Answered By: bobcooper-ga on 05 Mar 2004 16:35 PST
Dear khanmaria-ga The neurosurgeon performed a laminectomy on T12 and a laminotomy (hemilaminectomy) on T11. Also, the neurosurgeon performed foramenotomies by carrying the procedures out to the pedicles. These procedures should be coded with CPT codes 63046 Laminotomy, facetectomy and formanenotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root(s)), single vertebral segment; thoracic and 63048 each additional segment. CPT codes 63001-63017 would not be correct because foramenotomies were performed. CPT code 63020-63044 would not be correct because these were bilateral foramenotomies. I hope this helps.
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