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M43.20

Billable

Fusion of spine, site unspecified

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A surgical procedure where two or more vertebrae are permanently joined together to stabilize the spine, but the specific location is not documented.

Coding Tips

  • This is an unspecified code; always attempt to obtain the specific fusion site from operative reports or clinical documentation
  • If the site can be determined, use the more specific codes (M43.21-M43.28) instead of this unspecified code

Code Hierarchy

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