![]() 22899 - for each vertebral body, unilateral or bilateral injection if more than one level is treated, the multiple surgery rules will apply.The balloons are then deflated, leaving an empty cavity within the bone that has been expanded.Īt this stage, highly viscous bone cement is inserted into the vertebra through both tubes, using x-ray guidance to ensure that the cement is not leaking out of the vertebra. Once the balloons are in place, they are sequentially inflated with a liquid, using x-ray guidance, with the goal of re-establishing the original height of the collapsed vertebra. Through each tube, a special balloon is inserted into the collapsed vertebra. This procedure is done under guidance by x-ray imaging to allow precise placement. Kyphoplasty involves inserting specialized tubes into the fractured vertebra through two small skin openings in the back. 76013 - radiological supervision and interpretation, percutaneous vertebroplasty, per vertebral body, under CT guidance.76012 - radiological supervision and interpretation, percutaneous vertebroplasty, per vertebral body, under fluoroscopic guidance.22522 - each additional thoracic or lumbar vertebral body (list separately in addition to code for primary procedure).22521 - percutaneous vertebroplasty, one vertebral body, unilateral or bilateral injection lumbar.22520 - percutaneous vertebroplasty, one vertebral body, unilateral or bilateral injection thoracic.These modalities are governed by local coverage determination (LCD) under individual carrier for Medicare Part B. Refer to the CPT book for a detailed description of the above mentioned codes.īoth CT and MRI have strict payment polices with regard to medical necessity. 72100 (lumbosacral, two or three views).72074 (thoracic spine, minimum of four views).72052 (complete study of cervical spine)Ī Davis series of the cervical spine means a complete study and generally involves seven views.72050 (cervical spine, minimum of four views).72040 (cervical spine, two or three views).However, be careful of the correct coding initiative (CCI) edits when this study is followed by multiple view studies as describe in the following codes: This single view study is commonly performed in ER or trauma centers. When and if an abnormality is detected, at any level, a more detailed study may be warranted.ħ2020 Radiological examination, spine, specify level According to the American College of Radiology (ACR), 72010 can also be used for a trauma survey. ![]()
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