AHA Coding Clinic® for ICD-9 - 2008 Issue 2; Ask the Editor

ARCUATEâ„¢ XP Procedure

Should ICD-9-CM procedure code 81.65, Vertebroplasty, or code 81.66, Kyphoplasty, be assigned for the ARCUATEâ„¢ XP procedure? The ARCUATEâ„¢ XP system uses a mechanical device, the ARCâ„¢ Osteotome, to cut arcs in the cancellous bone within the vertebral body. The arcs created with the osteotome then allow for dispersion of bone cement material when it is subsequently injected into the vertebral body. No bone or bone marrow is removed from, or compacted within, the vertebral body. ...

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