8/12/2023 0 Comments L3 compression fracture icd 10![]() ![]() Percutaneous sacral augmentation (sacroplasty), bilateral injections, including the use of a balloon or mechanical device, when used, two or more needles, includes imaging guidance and bone biopsy, when performed VERTEBROPLASTY Percutaneous sacral augmentation (sacroplasty), unilateral injection(s), including the use of a balloon or mechanical device, when used, one or more needles, includes imaging guidance and bone biopsy, when performed Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), one vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance thoracicĮach additional thoracic or lumbar vertebral body Percutaneous vertebroplasty (bone biopsy included when performed), one vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance cervicothoracicĮach additional cervicothoracic or lumbosacral vertebral body These two procedures both treat back pain secondary to vertebral compression fracture(s) using two separate techniques. Cervical vertebral augmentation is reported with unlisted code 22899. Sacral vertebral augmentation continues to be reported with a Category III code (0200T, 0201T). ![]() In addition to bundling imaging with the surgical codes, the new codes for 2015 also changed sacral vertebroplasty from Category III level codes to Category I code 22511, and cervical vertebroplasty to Category I code 22510. Each Category I code (22510-22515) includes unilateral and bilateral injections, while the Category III codes for sacral augmentation specify unilateral (0200T) or bilateral (0201T) injection. These new codes include the bundling of all imaging required to perform the procedure, moderate sedation, and bone biopsy when performed. ![]() New codes and introductory language that became effective Januto describe percutaneous treatment of vertebral fractures have raised questions from users, which this article attempts to address. ![]()
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