CPT® Code 0201T

Percutaneous sacral augmentation (sacroplasty), bilateral injections, including the use of a balloon or mechanical device, when used, 2 or more needles, includes imaging guidance and bone biopsy, when performed

Percutaneous sacroplasty, also known as sacral augmentation, is a minimally invasive procedure designed to address sacral insufficiency fractures, which are particularly prevalent among postmenopausal women suffering from osteoporosis. These fractures can lead to significant pain and disability, often necessitating intervention beyond conservative management such as bed rest and pain relief. The procedure involves the use of fluoroscopic imaging to guide the placement of one or more trocar needles into the sacrum, allowing for precise access to the marrow cavity. During the procedure, a biocompatible material called polymethylmethacrylate (PMMA) is mixed with sterile barium and injected into the marrow space. This mixture serves to stabilize the fractured bone and alleviate pain by providing structural support. In cases where bilateral injections are required, two or more needles are utilized to ensure effective treatment on both sides of the sacrum. Additionally, a bone biopsy may be performed during the sacroplasty to obtain tissue samples for further analysis, enhancing the overall diagnostic and therapeutic value of the procedure.