CPT® Code 0814T

Percutaneous injection of calcium-based biodegradable osteoconductive material, proximal femur, including imaging guidance, unilateral

The procedure described by CPT® Code 0814T involves the percutaneous injection of a calcium-based biodegradable osteoconductive material into the proximal femur. This technique is primarily aimed at reinforcing the structural integrity of the proximal femur, which is particularly beneficial in preventing hip fractures, especially among elderly patients who may be susceptible to such injuries due to low-impact trauma. The procedure is often indicated for patients who have already sustained a hip fracture, as it can provide additional support to the affected area. In some cases, the injection may also be performed on the contralateral side during the surgical intervention for the fracture, thereby strengthening the other hip to mitigate the risk of future fractures. The process begins with a small incision to access the femoral cortex, followed by the insertion of a tissue protector and an obturator. A guide pin is then advanced to the apex of the femoral neck, facilitating the subsequent steps of drilling and injection. The use of imaging guidance, specifically fluoroscopy, ensures accurate placement of the osteoconductive material, which is injected in a continuous manner until it reaches the lateral cortex. This procedure is time-sensitive, requiring the injection to be completed within five minutes of mixing the material, and concludes with a thorough check for any leakage at the injection site before the instruments are removed.