CPT® Code 22512

Add-On Code

Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; each additional cervicothoracic or lumbosacral vertebral body (List separately in addition to code for primary procedure)

Percutaneous vertebroplasty is a minimally invasive procedure designed to stabilize compression fractures in the spine, often resulting from osteoporosis. This procedure is particularly beneficial for patients suffering from vertebral body fractures, which can lead to significant pain and disability. In addition to treating fractures caused by osteoporosis, percutaneous vertebroplasty may also be indicated for aggressive hemangiomas of the vertebral body and for providing palliative care for pathological fractures associated with benign or malignant tumors in the spine. The procedure involves the precise injection of a bone cement mixture into the affected vertebral body to restore structural integrity and alleviate pain. The patient is typically positioned on their stomach, and imaging guidance, such as fluoroscopy or computed tomography (CT), is utilized to accurately locate the vertebral level that requires treatment. Local anesthesia is administered to ensure patient comfort during the procedure. If a biopsy is indicated, a small incision is made to allow for the collection of a bone sample, which is then sent for pathological examination. The overall goal of percutaneous vertebroplasty is to enhance the quality of life for patients by reducing pain and improving mobility through the stabilization of the affected vertebrae.