AMA Clinical Examples in Radiology - 2014 Issue 4 (Fall)
Vertebroplasty and Kyphoplasty
CLINICAL EXAMPLE 1 Vertebroplasty and Kyphoplasty CLINICAL HISTORY 59-year-old female with a history of lupus and on a high dose of steroids presents with compression fractures of L1, L2, L3, L4, and L5. PROCEDURE Vertebroplasty of L1, L2, L3, and L5. Kyphoplasty of L4. TECHNIQUE The risks, benefits, and alternatives to the procedure were discussed with the patient and informed consent was obtained. The patient was brought to the interventional suite and placed in the prone position on the interventional table. A preliminary scout image was obtained. Subsequently, bipedicular trocars were introduced into the vertebral bodies of L1, L2...
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Article Overview
This premium article explains how a vertebroplasty and kyphoplasty case is coded across CPT reporting changes, including the shift in January 2015 and the related radiology supervision and interpretation services. It is intended for coders, billers, and radiology professionals who need to understand the scope of the procedures, the affected CPT code families, and the accompanying coding discussion from AMA and ACR sources.
Why This Topic Matters
Understanding this article helps readers compare older and newer CPT reporting frameworks for vertebral augmentation procedures and related imaging services. It is useful when reviewing interventional radiology documentation, staying current with code-set changes, and identifying how the topic is discussed in a formal coding reference.
Article Sections
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Clinical Example 1
A sample vertebroplasty and kyphoplasty case is presented with clinical history, procedure details, technique, and imaging findings. The section also includes the case-specific coding references tied to the example.
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How to Code
This section outlines coding guidance for the case across different dates of service. It references the relevant CPT reporting framework and associated radiology supervision and interpretation services.
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Discussion
This section summarizes the CPT code-set changes and broader coding context for vertebroplasty, vertebral augmentation, and sacroplasty. It also references professional organizations and explains the article’s coding background at a high level.
What You Will Learn
- How the article frames a vertebroplasty and kyphoplasty clinical example
- How the discussion is organized around CPT reporting changes over time
- Which general procedure categories and imaging services are addressed
- Which professional organizations and source materials are cited in the coding discussion
Who Should Read This
- Medical coders
- Radiology coders
- Interventional radiology staff
- Billing professionals
- Compliance teams
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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