AMA CPT® Assistant - 2015 Issue 12 (December)

Category III Codes (Bonus Q&A) (December 2015)

December 2015 page 19 Category III Codes Question: When a sacral augmentation is performed, is it appropriate to report the bone biopsy separately? Answer: No, it is not appropriate to report the bone biopsy separately. The Category III description for code 0200T, Percutaneous sacral augmentation (sacroplasty), unilateral injection(s), including the use of a balloon or mechanical device, when used, 1 or more needles, includes imaging guidance and bone biopsy, when performed, and 0201T, Percutaneous sacral augmentation (sacroplasty), bilateral injections, including the use of a balloon or mechanical device, when used, 2 or more needles, includes imaging guidance and bone...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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