Spinal Decompression Surgery, Laminectomy or Laminotomy
A surgical procedure to relieve pressure on the spinal cord and/or spinal nerves usually caused by bone spurs or arthritis of the spine. The procedure involves the removal of partial lamina (laminotomy) or the removal of one or more lamina (laminectomy) with the release of spinal cord and/or nerves.
The Bundled Rate plus Outlier Per Diems includes:
- Those comprehensive facility services, supplies, and equipment necessary to perform the Bundled Procedure and rendered by PROVIDER
- Those professional services necessary to perform the Bundled Procedure and rendered by a Physician
- The treatment of any complication or concurrent related illness associated with or resulting from the performance of the Bundled Procedure
The Bundled Rate Period covers the 1 day(s) prior to the procedure for the scheduled Accarent Procedure and up to 2 inpatient days in the hospital. Should the length of stay exceed 2 inpatient days, then per diem outlier payments will be applicable for each subsequent inpatient day. Covered outpatient follow-up services related to the bundled procedure beginning on the day of discharge through 30 calendar days are included in the bundled price.
There are no exclusions.
Candidacy for the bundled procedure will be determined by the facility at record review or consultation.