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Thread: Dural Repair

  1. #1
    Join Date
    Apr 2007
    Long Island/New York

    Default Dural Repair

    AAPC: Back to School
    Is a dural repair separately billable when performed with a spinal fusion, lumbar decomprssion? The dural repair was done during the decompression. Thanks.

  2. #2

    Default 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.

  3. #3
    Join Date
    Apr 2007
    North Carolina


    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.


    Chapter 8

  4. #4


    Thanks Rebecca! I will try to help as I can.


  5. #5
    Join Date
    Apr 2007
    Long Island/New York



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