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Dural Repair

  1. Default Dural Repair
    Medical Coding Books
    I am wondering how you would code a dural repair requiring partial vertebral corpectomies. Any input on this will be great. Thanks!
    Last edited by jhouse; 11-15-2011 at 08:51 AM. Reason: correct spelling

  2. #2
    Default Need more info.
    Can you post the op-note?
    What I'm finding are codes for a dural repair, but they're with and without laminectomy. If that's not applicable you may just have to use the corpectomy codes.

  3. Default Dural Repair
    I am unable to post the op note.

    He is at C4-5... he states partial vertebral corpectomy at C4 was carried out directly backwards to the spinal canal. The dura was encountered and found to be inflated. There was a very small, perhaps half a millimeter opening at the junction of the C4 vertebral body and the dura.

    Any input you have will be great.

  4. #4
    I would go with 63081 - if this was done w/ an anterior approach, or whichever corpectomy code is appropriate according to the op-note. also I was thinking 63707 for the repair of the dura, but there was not enough info in what you posted, and there is a CCI edit, it appears that repair of the dural space is included in the corpectomy codes

  5. Default
    I agree that their is not enough information to tell you what to bill, but to bill for a corpectomy at all you have to dictate that 1/2 of the vertebral body was removed for cervical, 1/3 for lumbar. If amount of vertebral body removed is not documented, this is a discectomy. You can not bill for repair of the dura, if the dr tears it while doing the surgery, he is supposed to repair it.

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