nyyankees
True Blue
Is a dural repair separately billable when performed with a spinal fusion, lumbar decomprssion? The dural repair was done during the decompression. Thanks.
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Wiki Dural Repair
- Thread starter nyyankees
- Start date
kjpollock
New
Dural repair
Typically no because the dura should not be opened during a lumbar decompression. If the dura is opened it's usually because of a complication (eg, incidental durotomy or dural tear). Therefore, repair of something you inadvertently did during the procedure is not separately billable.
Kim Pollock, RN, MBA, CPC
KarenZupko & Associates, Inc.
www.karenzupko.com
Typically no because the dura should not be opened during a lumbar decompression. If the dura is opened it's usually because of a complication (eg, incidental durotomy or dural tear). Therefore, repair of something you inadvertently did during the procedure is not separately billable.
Kim Pollock, RN, MBA, CPC
KarenZupko & Associates, Inc.
www.karenzupko.com
RebeccaWoodward*
True Blue
Great to see you here Kim!!
If a dural (cerebrospinal fluid) leak occurs during a spinal procedure, repair of the dural leak is integral to the spinal procedure. CPT code 63707 or 63709 (repair of dural/cerebrospinal fluid leak) should not be reported separately for the repair.
http://www.cms.hhs.gov/NationalCorrectCodInitEd/01_overview.asp#TopOfPage
Chapter 8
If a dural (cerebrospinal fluid) leak occurs during a spinal procedure, repair of the dural leak is integral to the spinal procedure. CPT code 63707 or 63709 (repair of dural/cerebrospinal fluid leak) should not be reported separately for the repair.
http://www.cms.hhs.gov/NationalCorrectCodInitEd/01_overview.asp#TopOfPage
Chapter 8
kjpollock
New
Thanks Rebecca! I will try to help as I can.
Kim
Kim
nyyankees
True Blue
Thanks!!
Prada
Contributor
I had a question in this regard.
I understand that dural repair is not separately billable because it is incidental to the Surgery. Can we bill modifier 22 because of the durotomies?
Doctor did an ACDF (Anterior Cervical Discectomy and Fusion) and noted the following complication.
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Can we add modifier 22 to 22551 and 22552? And should we add a diagnosis code for the complication?