tci Part B Insider - 2005 Issue 9

COVERAGE: Carriers Advance Coverage For Kyphoplasty, Vertebroplasty

You shouldn't bill for bone biopsy alongside kyphoplastyIf you've been trying to bill for percutaneous kyphoplasty, your life may be getting easier soon.Part B carrier Adminastar Federal has a draft local coverage determination open for comments until April 1 on vertebroplasty and kyphoplasty. The policy represents "a great step forward," especially for kyphoplasty, a relatively new procedure, says Jeff Fulkerson, senior certified coder in the radiology department of Emory Health Care in Stockbridge, GA.Adminastar will cover vertebroplasty for a laundry list of conditions, including osteoporotic or osteolytic vertebral compression fractures; osteolytic metastasis or multiple myeloma, with...

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