Can CPT code 62287 be billed with more than one unit?

No, 1 unit includes mutliple levels
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Yes, if done at different levels, it can be billed with more than one unit
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You can bill it but it won't be reimbursed
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Author Topic: Coding for Surgical Spinal Decompression-cpt code 62287  (Read 3983 times)


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Coding for Surgical Spinal Decompression-cpt code 62287
« on: March 26, 2008, 10:46:20 AM »
Hi Everyone!
I was hoping some one might be able to help me with this coding issue. I reprice the medical bills for the financing company that I work for. I just received a bill for CPT code 62287 which was billed as follows:
Line 1: 62287 - $8640.00, POS-24(ASC) Line 2: 62287-51 modifier -$8640.00 POS-24(ASC). The description for this code states Aspiration or decompression procedure, percutaneous of nucleus pulposus of invertebral disc, any method, single or multiple levels, lumbar. The op report states it was done at L4-5 and L5-S1. I'm hesitant to indicate it should be reimbursed for both units since the description states single or multiple levels. If anyone can offer some insight as to whether two units are reimbursable or even billable I would greatly appreciate it.


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Re: Coding for Surgical Spinal Decompression-cpt code 62287
« Reply #1 on: March 26, 2008, 11:19:40 AM »
   I agree with your hesitation to bill out the 2nd code w/the 51 mod.  CPT 62287 indicates single or MULTILPLE levels.  I did a little research on it and everything I came across indicates that billing for both levels would not be appropriate.  If it were billed out with the 51 modifier I would suspect the second line would be denied.

If anyone else has info on billing this code, I would be interested in knowing their experience.

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