Coding for Spinal Augmentation. Presented by Tammy Cox, CPC and Lori Dafoe, CPC. Diagrams for Vertebrae of the Spine. Can be found at: http://www.cedars-sinai.edu/Patients/Programs-and-Services/Spine-Center/Anatomy-of-the-Spine/Vertebrae-of-the-Spine.aspx. Spine Coding References.
Presented by Tammy Cox, CPC
and Lori Dafoe, CPC
Can be found at: http://www.cedars-sinai.edu/Patients/Programs-and-Services/Spine-Center/Anatomy-of-the-Spine/Vertebrae-of-the-Spine.aspx
prophylactic for osteoporosis of the spine or for chronic back pain of long-standing duration, even if associated with old compression fractures.
Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device, one vertebral body, unilateral or bilateral cannulation (eg, kyphoplasty)
(List separately in addition to code for primary procedure)
Radiological supervision and interpretation, percutaneousvertebroplasty, vertebral augmentation, or sacral augmentation (sacroplasty), including cavity creation, per vertebral body or sacrum
Don’t forget modifier -26 to denote the professional component of this service!
Documentation Requirements for Vertebroplasty and KyphoplastyReference: Local Coverage Determination (LCD) for Vertebroplasty, Vertral Augmentation; Percutaneous (L23888)The following documentation is required in order for this service to be covered by Medicare:
Note: This document has been created solely as a tool to assist in the documentation requirements. It should not be used to replace the Local Coverage Determination of Vertebroplasty or Vertebral Augmentation Procedures.
CPT & ICD- 9 Codes
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