Anesthesia Coding Alert
Code Kyphoplasty By Spinal Site
Question: Which ASA and CPT codes apply to anesthesia for kyphoplasty? Texas Subscriber Answer: Kyphoplasty refers to vertebral surgery to treat osteoporotic fractures. The surgeon inserts a special balloon and inflates it to help the fractured vertebrae regain height and to reduce spinal deformity. Then the physician injects a cement-like material to stabilize the fracture and provide pain relief.
Many carriers require 22899 (Unlisted procedure, spine) for kyphoplasty along with the site-specific anesthesia code, such as 00600 (Anesthesia for procedures on cervical spine and cord; not otherwise specified), 00620 (Anesthesia for procedures on thoracic spine and cord; not otherwise specified) or 00630 (Anesthesia for procedures in lumbar region; not otherwise specified).
Whichever procedure code you choose, also include any ICD-9 codes that support medical necessity, such as 733.13 (Pathologic fracture of vertebrae), 805.2x (Fracture of vertebral column without mention of spinal cord injury; dorsal [thoracic], closed) or 805.4x ( lumbar, closed).
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