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Vertebroplasty Coding

Vertebroplasty or Percutaneous vertebroplasty is a procedure that involves injecting a cement kind material into the vertebral body to provide support for the structure using imaging guidance. The segment of the spine and the type of guidance helps in determining the coding. Vertebral augmentation is the process of cavity creation followed by the injection of the material or cement under imaging guidance. For 0200T and 0201T, sacral augmentation (sacroplasty) refers to the creation of a cavity within a sacral vertebral body followed by injection of a material to fill that cavity.

CPT 22510 is used to report Percutaneous vertebroplasty (bone biopsy included when performed), one vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; cervicothoracic for the first cervicothoracic vertebral body treated. CPT 22511 is reported for Percutaneous vertebroplasty (bone biopsy included when performed), one vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; lumbosacral for the first lumbosacral vertebral body treated. Add-on CPT Code 22512 is reported for Percutaneous vertebroplasty (bone biopsy included when performed), one vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; each additional cervicothoracic or lumbosacral vertebral body (List separately in addition to code for primary procedure) for each additional vertebral body.

Codes 22510, 22511, 22512, 22513, 22514, 22515 describe procedures for percutaneous vertebral augmentation that include vertebroplasty of the cervical, thoracic, lumbar and sacral spine and vertebral augmentation of the thoracic and lumbar spine. It should be noted that the code descriptors specify “unilateral and bilateral;” therefore, modifier 50 Bilateral procedure is not appropriate. The codes are inclusive of imaging guidance, moderate sedation and bone biopsies performed at the same level(s).