nyyankees
True Blue
can 63707 and 63047 be reported when performed at the same level? I had ins co deny but couldn't find any articles to support.
Thanks.
Thanks.
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Wiki 63707
- Thread starter nyyankees
- Start date
RebeccaWoodward*
True Blue
No...
"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/
Chapter 8
However...I have been told you could, potentially, bill the primary procedure with a modifier 22 is the dural repair was significant.
"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/
Chapter 8
However...I have been told you could, potentially, bill the primary procedure with a modifier 22 is the dural repair was significant.
nyyankees
True Blue
Thanks