Orthopedic Coding Alert
Report Unlisted for Cervical Vertebroplasty
Question: Which codes should we report when the surgeon performs cervical vertebroplasty? The surgeon's documentation should explain that 22899 represents an -additional level- in the cervical area.
Alabama Subscriber
Answer: CPT does not publish a code for percutaneous vertebroplasty of cervical vertebra(e), but such procedures are possible.
Before CPT added percutaneous vertebroplasty codes 22520-22522 in 2001, most payers recommended that coders report all vertebroplasty procedures using 22899 (Unlisted procedure, spine).
Most payers still recommend the unlisted-procedure code for cervical vertebroplasties, although you should check with your insurer to be sure about individual guidelines.
When the orthopedic surgeon treats -additional- levels in the cervical area, you are justified in reporting 22899. For example, for treatment to levels L4, L5 and C1, your claim should read:
- 22521 -- Percutaneous vertebroplasty, one vertebral body, unilateral or bilateral injection; lumbar
- +22522 -- ... each additional thoracic or lumbar vertebral body
- 22899.
Pointer: When reporting an unlisted-procedure code, include a full description of the procedure so the payer can make an appropriate payment determination. As always for unlisted-procedure codes, include the report to identify the specific effort involved, using 22520-22522 as a reference.
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Report Unlisted for Cervical Vertebroplasty
Question: Which codes should we report when the surgeon performs cervical vertebroplasty?
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