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M43.28

Billable

Fusion of spine, sacral and sacrococcygeal 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 sacral and sacrococcygeal region (lowest part of the spine at the base of the pelvis).

Coding Tips

  • •This is a less common fusion site; verify documentation clearly indicates sacral and/or sacrococcygeal involvement
  • •Distinguish from lumbosacral fusion (M43.27) which includes the lowest lumbar vertebra

Code Hierarchy

└M43Other deforming dorsopathies└M43.2Fusion of spine└M43.28Fusion of spine, sacral and sacrococcygeal region
└M43.28Fusion of spine, sacral and sacrococcygeal region

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