acov57
Guest
What is the cpt code for
cementoplasty of left acetabulum via an anterior approach?
Is it an unlisted code?
This the report
An 10.5 gauge needle was placed into the skin and advanced to the
level of the periosteum of the anterior aspect of the left
superolateral acetabulum via an anterior approach. The needle was
advanced to the mid to posterior aspect of the acetabulum and a core
biopsy was obtained. The cannula was then advanced to the posterior
aspect of the acetabulum. A Spine STAR 10/15 135 mm RF bipolar
ablation probe was then placed through the working cannula. Ablations
were performed at the posterior aspect of the acetabulum, angling the
tip of the probe both medially and laterally. The probe was then
retracted approximately 1 to 1.5 cm and additional ablations were
performed. A total of 6 ablations, each lasting approximately 4
minutes were performed. Two of the ablations had the proximal thermal
couple reach a temperature of 50 degrees Celsius, ending with a power
level of 2. Four of the ablations had the distal thermal couple reach
a temperature of 52 degrees Celsius and the proximal thermal couple
reach a temperature of approximately 47 degrees Celsius.
The working cannula was then advanced to the posterior aspect of the
acetabulum. Cement was injected, with serial CT scans acquired to
ensure that no cement extravasated into the left hip joint. The
working cannula was retracted several times to allow more anterior
cement placement. A total of approximately 10.5 cc of cement was
placed, with good filling of the lytic lesion.
The needles were removed and direct pressure was placed over the skin
puncture sites, and good hemostasis was achieved
cementoplasty of left acetabulum via an anterior approach?
Is it an unlisted code?
This the report
An 10.5 gauge needle was placed into the skin and advanced to the
level of the periosteum of the anterior aspect of the left
superolateral acetabulum via an anterior approach. The needle was
advanced to the mid to posterior aspect of the acetabulum and a core
biopsy was obtained. The cannula was then advanced to the posterior
aspect of the acetabulum. A Spine STAR 10/15 135 mm RF bipolar
ablation probe was then placed through the working cannula. Ablations
were performed at the posterior aspect of the acetabulum, angling the
tip of the probe both medially and laterally. The probe was then
retracted approximately 1 to 1.5 cm and additional ablations were
performed. A total of 6 ablations, each lasting approximately 4
minutes were performed. Two of the ablations had the proximal thermal
couple reach a temperature of 50 degrees Celsius, ending with a power
level of 2. Four of the ablations had the distal thermal couple reach
a temperature of 52 degrees Celsius and the proximal thermal couple
reach a temperature of approximately 47 degrees Celsius.
The working cannula was then advanced to the posterior aspect of the
acetabulum. Cement was injected, with serial CT scans acquired to
ensure that no cement extravasated into the left hip joint. The
working cannula was retracted several times to allow more anterior
cement placement. A total of approximately 10.5 cc of cement was
placed, with good filling of the lytic lesion.
The needles were removed and direct pressure was placed over the skin
puncture sites, and good hemostasis was achieved