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M43.23

Billable

Fusion of spine, cervicothoracic region

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

What This Code Means

A surgical procedure where vertebrae at the junction between the neck and mid-back are fused together to stabilize this transition area.

Coding Tips

  • The cervicothoracic junction (C7-T1) is a critical transition zone; ensure documentation clearly identifies this region
  • Note the number of levels fused and approach used (anterior/posterior) for comprehensive surgical documentation

Code Hierarchy

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