What is CPT code for kyphoplasty?

Since there is no regular CPT code for the procedure being performed at a cervical level, use the unlisted CPT code 22899 for a cervical kyphoplasty procedure.

What is the CPT code for Sacroplasty?

Coding Sacroplasty The CPT code for sacral vertebroplasty (without cavity creation) is 22511. The CPT codes for sacral vertebral augmentation that include cavity creation are Category III codes 0200T and 0201T.

What is the CPT code for vertebroplasty?

The Current Procedural Terminology (CPT®) code 22511 as maintained by American Medical Association, is a medical procedural code under the range – Percutaneous Vertebroplasty and Vertebral Augmentation Procedures.

What is procedure code 22514?

22514. PERCUTANEOUS VERTEBRAL AUGMENTATION, INCLUDING CAVITY CREATION (FRACTURE REDUCTION AND BONE BIOPSY INCLUDED WHEN PERFORMED) USING MECHANICAL DEVICE (EG, KYPHOPLASTY), 1 VERTEBRAL BODY, UNILATERAL OR BILATERAL CANNULATION, INCLUSIVE OF ALL IMAGING GUIDANCE; LUMBAR.

How do I bill for kyphoplasty?

Percutaneous vertebral augmentation (kyphoplasty) is reported with CPT codes 22513, 22514, and 22515. Code 22515 is an add-on code and cannot be used alone.

What is kyphoplasty procedure?

Kyphoplasty is a procedure used to treat a painful compression fracture of the spine, generally caused by osteoporosis. Once the vertebra breaks, bone fragments develop and slide or rub against each other or protrude into the spinal canal, nerve roots, or spinal cord, causing pain or weakness.

What is the difference between kyphoplasty and vertebroplasty?

For a vertebroplasty, physicians use image guidance, typically fluoroscopy, to inject a cement mixture into the fractured bone through a hollow needle. During kyphoplasty, a balloon is first inserted into the fractured bone through the hollow needle to create a cavity or space.

What is the unlisted procedure code for the lungs and pleura?

Instead, coders should report this service using unlisted CPT code 32999 (unlisted procedure, lungs and pleura), according to the CPT Assistant published in August 2011.

Can CPT 22513 and 22514 be billed together?

Code 22515 is an add-on code used to report vertebral augmentation for each additional vertebral body treated in the thoracolumbar spine during the same therapeutic session (22513 or 22514 is reported once for a single session, and these two codes are never reported together).

What is a Sacroplasty?

Sacroplasty is a minimally invasive, percutaneous, image-guided technique for the treatment of SIFs and painful sacral metastasis. The procedure involves the injecting of polymethylmethacrylate bone cement through one or more trocar needles in the affected sacral wing.

Does Medicare pay for Sacroplasty?

Medicare does not have a National Coverage Determination (NCD) for sacroplasty. Local Coverage Determinations (LCDs)/Local Coverage Articles (LCAs) do not exist. For coverage guidelines, refer to the UnitedHealthcare Commercial Medical Policy titled Surgical Treatment for Spine Pain.

Is vertebral augmentation the same as kyphoplasty?

Vertebral augmentation is a category of surgical procedures that are used to stabilize a fractured vertebra with the goal of reducing the patient’s pain. These procedures are termed vertebroplasty, kyphoplasty, or radiofrequency vertebral augmentation.