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Coding tip: Correctly code new vertebroplasty procedures
Ambulatory Surgery Reimbursement Update, May 8, 2007
Percutaneous vertebroplasty procedures (codes 22520, 22521, and 22522) were added to the Medicare ASC Grouper List as covered procedures as of January 1.
Vertebroplasty is a minimally-invasive procedure using radiologic guidance to identify a vertebral fracture. Polymer cement is injected into the vertebral fracture to stabilize the fracture and reinforce the spine.
Venographies and vertebral biospies are included in this procedure. The appropriate fluoroscopic guidance is billed with code 72291-TC. In addition, use code 72292-TC for any CT guidance used with the procedure.
Note: Your ASC would only receive reimbursement from those payers who allow payment of radiology services (which Medicare does not reimburse).
This tip is brought to you by Ellis Medical Consulting, Inc.
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