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CPC · Question #46

CPC Question #46: Real Exam Question with Answer & Explanation

The correct answer is A. 63045, 63048. Cervical spondylosis with myelopathy: Condition requiring decompressive surgery. Bilateral posterior laminectomy, facetectomies, foraminotomies: Procedures performed to decompress nerve roots. Interspaces C5-C6 and C6-C7: Specific levels where the procedures were performed. CPT c

Question

Patient has cervical spondylosis with myelopathy. The surgeon performed a bilateral posterior laminectomy with facetectomies at each level and foraminotomies performed between interspaces C5-C6 and C6-C7. Bilateral decompression of the nerve roots is achieved. What CPT® coding is reported?

Options

  • A63045, 63048
  • B63040-50, 63043, 63043
  • C63050-50
  • D63015

Explanation

Cervical spondylosis with myelopathy: Condition requiring decompressive surgery. Bilateral posterior laminectomy, facetectomies, foraminotomies: Procedures performed to decompress nerve roots. Interspaces C5-C6 and C6-C7: Specific levels where the procedures were performed. CPT code 63045 is used for the initial cervical laminectomy, and 63048 is for each additional segment. The combination covers the decompression across two interspaces.

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