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63707

  1. #1
    Location
    Long Island/New York
    Posts
    1,271
    Default 63707
    Medical Coding Books
    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.

  2. #2
    Location
    North Carolina
    Posts
    3,126
    Default
    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.

  3. #3
    Location
    Long Island/New York
    Posts
    1,271
    Thumbs up
    Thanks

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