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Dural Repair

  1. #1
    Long Island/New York
    Default Dural Repair
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    Is a dural repair separately billable when performed with a spinal fusion, lumbar decomprssion? The dural repair was done during the decompression. Thanks.

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


  5. #5
    Long Island/New York

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