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Kyphoplasty and minimally invasive pedicle screws/rod instrumentation/stabilizat

Carrie Posted Wed 03rd of October, 2018 11:50:08 AM
How would you code L5 kyphoplasty and L4-S1 minimally invasive pedicle screws/rod instrumentation/stabilization? There will be no fusion or decompression, just stabilization. No op report yet, looking for codes to pre-authorize.
SuperCoder Answered Thu 04th of October, 2018 06:39:48 AM

Hello Carrie,

Thank you for your question.

 

As per the above provided documentation, kindly find the undermentioned suggested CPT® codes:

 

For L5 kyphoplasty report CPT® code 22514 {Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; lumbar}

 

For minimal invasive stabilization without fusion or decompression at L4-S1, report the below CPT® code 22869 (for level L4-L5)

{Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; single level}

 

For additional level (L5-S1), report the add-on code CPT® code 22870

{Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; second level (List separately in addition to code for primary procedure)} 

 

Hope this helps.

Carrie Posted Thu 04th of October, 2018 08:28:15 AM
Very helpful. Thank you.
SuperCoder Answered Fri 05th of October, 2018 00:11:42 AM

Thank you, happy to help.

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