Cpt Code 63407 Page

💡 CPT 63407 is a "per session" code. Even if the surgeon evacuates an abscess spanning multiple cervical segments, the code is generally reported only once for that operative session.

Furthermore, coders must be wary of "unbundling." If the laminectomy is performed as a standard part of a more complex procedure, such as a spinal fusion or a larger tumor resection, CPT 63407 may not be separately billable. Always consult the National Correct Coding Initiative (NCCI) edits to check for prohibited code pairs. cpt code 63407

| Element | Detail | |---------|--------| | | Bill with ICD-10-PCS for inpatient; CPT for outpatient/ASC | | Place of Service | Usually inpatient (POS 21) due to complexity | | Modifiers | - -22 (Increased procedural services) if unusually complex - -59 (Distinct procedure) only if separate, unrelated procedure same session (rare) | | Assistant Surgeon | Common (Modifier -80, -81, -82). Check payer policy. | 💡 CPT 63407 is a "per session" code