A cam coupling rod reducer and method of operation comprises an inner tube comprising a first end having a hole and a second end having a plurality of prongs extending therefrom. The rod reducer further includes a lever cam connected to the first end, wherein the lever cam comprises a base and a pair of semicircular arms extending from the base, wherein each of the arms comprise a hole configured to align with the hole of the first end of the inner tube. The rod reducer also includes an outer extension tube connected to the inner tube, wherein the outer extension tube comprises positional markings on the body of the outer extension tube; a top end having a concave opening; and a bottom end comprising an opening configured to permit the prongs of the inner tube to extend therethrough; and a pair of pegs extending from the bottom end.