Neurosurgery Coding Alert

Check CCI bundles with concurrent laminectomies.

You know you need to choose from three codes when your surgeon does a repair of the dura in the spine to contain a cerebrospinal fluid (CSF) leak, but do you know when and how to use them? Find out with this coding quiz. 

The codes you need are:

• 63707 (Repair of dural/cerebrospinal fluid leak, not requiring laminectomy), 
  
• 63709 (Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy), and
  
• 63710 (Dural graft, spinal).
  

Take this quiz to assess your understanding for dural repair procedures.

Question 1: Which of the following codes do you submit when your surgeon repairs a dural tear that occurred during a laminectomy procedure?

a) 63707, 63047

b) 63709, 63047

c) 63710 

d) 63047

Question 2: Which of the following codes do you submit when your surgeon does a dural repair with laminectomy for a delayed CSF leak?

a) 63707

b) 63709

c) 63710 

d) 63047

Question 3: Which of the following codes do you report for a synthetic dural graft?

a) 63707

b) 63709

c) 63710 

d) 63047

Question 4: Which of the following are included in codes 63707 and 63709?

a) Approach

b) Repair

c) Closure

d) All of the above

Question 5: Which of the following ICD-10 codes applies to an accidental dural tear?

a) G96.11

b) G97.41

c) G349.3

d) G349.31