What is the CPT code for a kyphoplasty?

What is the CPT code for a 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 l2 kyphoplasty?

Select kyphoplasty codes based on the segment of the spine treated. Code 22513 describes the initial vertebral body treated in the thoracic area. Code 22514 describes the initial vertebral body treated in the lumbar area. Select only one initial level (either 22513 or 22514).

What is procedure code 22514?

Note: Providers are reminded to refer to the long descriptors of the CPT codes in their CPT book.

What is procedure code 22511?

22511. PERCUTANEOUS VERTEBROPLASTY (BONE BIOPSY INCLUDED WHEN PERFORMED), 1 VERTEBRAL BODY, UNILATERAL OR BILATERAL INJECTION, INCLUSIVE OF ALL IMAGING GUIDANCE; LUMBOSACRAL. 22512.

What is the ICD 10 PCS code for kyphoplasty?

2022 ICD-10-PCS Procedure Code 0QU03JZ.

What is CPT code 0200T?

Sacral vertebral augmentation is reported with Category III codes 0200T (unilateral) or 0201T (bilateral). Cervical vertebral augmentation may be reported with unlisted code 22899. Historically, several terms have been used to describe vertebral augmentation procedures.

What is the ICD 10 code for kyphoplasty?

The 2022 edition of ICD-10-CM S22. 080G became effective on October 1, 2021. This is the American ICD-10-CM version of S22. 080G – other international versions of ICD-10 S22.

Is kyphoplasty a surgical procedure?

Sacroplasty is a minimally invasive procedure for treating pathological fractures of the sacral vertebral body or sacral ala. The goal of sacroplasty is to relieve pain and stabilize the fracture.

Is kyphoplasty considered spinal surgery?

Overview. Vertebroplasty and kyphoplasty are minimally invasive procedures used to treat vertebral compression fractures of the spine.

Is kyphoplasty considered experimental?

Radiofrequency kyphoplasty is considered investigational. Mechanical vertebral augmentation using any other device is considered investigational.

What is the CPT code for Sacroplasty?

Coding Sacroplasty “Sacroplasty” is a term that is used to describe both sacral vertebroplasty and sacral vertebral augmentation, including cavity creation. The CPT code for sacral vertebroplasty (without cavity creation) is 22511.

What type of procedure is kyphoplasty?

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.

Is kyphoplasty covered by insurance?

In recent years, a newer, minimally invasive procedure called kyphoplasty — which involves a cement injection into the broken vertebra to hold it in place — has become an increasingly popular option for these fractures, one that doctors note is well covered by insurance and Medicare.

Is kyphoplasty spinal surgery?

The goals of a kyphoplasty surgical procedure are designed to stop the pain caused by a spinal fracture, to stabilize the bone, and to restore some or all of the lost vertebral body height due to the compression fracture.

Does Medicare require prior authorization for kyphoplasty?

coverage determinations. Prior authorization is required for these procedures. Fracture (VCF) (A56178) for coverage criteria. Criteria in this policy only address coverage of percutaneous vertebroplasty and kyphoplasty for osteoporotic vertebral compression fracture.