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M43.27

Billable

Fusion of spine, lumbosacral region

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

What This Code Means

A surgical fusion procedure of the lumbosacral region (lower back and sacrum) where the lowest lumbar vertebra is fused to the sacrum.

Coding Tips

  • This code specifically indicates fusion involving the lumbosacral junction; ensure documentation confirms sacral involvement
  • Common post-operative code for patients with lumbosacral instability or degenerative disc disease at this level

Code Hierarchy

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