We are billing 63030 for a discectomy but the spine surgeon wants to also bill for repairing the dura. The operative note states an “incidental durotomy” was made. Can we also bill 63710 for the dura repair?
No. Repair of an intraoperative complication such as this is included in the global surgical package for the primary procedure, 63030, and not be separately billed by the spine surgeon.