tci Part B Insider - 2005 Issue 38

SURGERY: New Kyphoplasty Codes Mirror Vertebroplasty Codes

But existence of new CPT codes doesn't mean you'll get paid After  years of waiting, you’ll finally have three codes for reporting kyphoplasty starting in January. The codes cover thoracic (22523), lumbar (22524) and each additional thoracic or lumbar vertebral body (22525). Until now, you’ve used an unlisted code for this procedure, in which the surgeon creates a cavity to open up the spine. These new codes mirror the existing codes for percutaneous vertebroplasty, which surgeons actually perform less often, says Heidi Stout, coding and reimbursement specialist with University Orthopedic Associates in New Brunswick, NJ. The technique...

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