Since 2008, CMS has provided clear guidelines for the
reimbursement of Vertebral Augmentation devices.
As shown in the tables below, the US reimbursement codes for
the Ascendx VCF Repair System are as
follows.
|
ICD-9 Code
|
Code Title
|
Description
|
|
81.66
|
Percutaneous vertebral augmentation
|
Insertion of inflatable balloon, bone tamp, or other device displacing
(removing) (compacting) bone to create a space (cavity) (void)
prior to the injection of bone void filler (cement) (polymethylmethacrylate)
(PMMA) or other substance.
|
The CPT (Current Procedural
Terminology) codes and corresponding APC (Ambulatory Payment Classification)
codes
for vertebral augmentation are provided below.
|
CPT Code
|
Description
|
Ambulatory Payment Classification (APC)
|
|
22523
|
Percutaneous
vertebral augmentation, including cavity creation (fracture reduction and
bone biopsy included when performed) using mechanical device, one vertebral
body, unilateral or bilateral cannulation; thoracic
|
APC 0052
|
|
22524
|
Percutaneous
vertebral augmentation, including cavity creation (fracture reduction and
bone biopsy included when performed) using mechanical device, one vertebral
body, unilateral or bilateral cannulation; lumbar
|
APC 0052
|
|
22525
|
each
additional thoracic or lumbar vertebral body
|
APC 0052
|
