tci Part B Insider - 2006 Issue 12

NEUROSURGERY: Reader Question--Cut Out Modifiers When You Code For Vertebroplasty

Question: We have documentation that the neurosurgeon performed vertebroplasty at more than one spinal level during the same operative session. I'm not sure how to code this. Do I need an add-on code?Illinois Subscriber Answer: Yes, you should report each additional level using add-on code +22522 (Percutaneous vertebroplasty, one vertebral body, unilateral or bilateral injection each additional thoracic or lumbar vertebral body). Code the primary level and then use this add-on code for the subsequent levels, says Patrick J. Cafferty, MPAS, PA-C, CHCO, president and CEO of Neurosurgical Associates of Western Kentucky, a neurosurgery and pain management group...

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