CPT® Code 22513

Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; thoracic

Percutaneous vertebral augmentation is a minimally invasive procedure designed to treat compression fractures of the vertebrae, which can occur due to various conditions such as osteoporosis, multiple myeloma, primary or metastatic malignant lesions, benign lesions, or traumatic injuries to the spine. This procedure is particularly beneficial for patients suffering from debilitating pain and instability caused by these fractures. During the procedure, the patient is typically positioned in a prone manner to allow optimal access to the affected vertebra. Utilizing advanced imaging guidance, a small incision is made over the targeted vertebra to facilitate the introduction of specialized instruments. The procedure involves creating a working channel within the vertebra, which allows for the insertion of a mechanical device that aids in cavity creation. This cavity is subsequently filled with bone graft material or bone cement, which stabilizes the vertebra and alleviates pain. The inclusion of fracture reduction and the option for bone biopsy when necessary further enhances the therapeutic potential of this intervention. The procedure is performed on one vertebral body at a time, and can involve unilateral or bilateral cannulation, depending on the specific needs of the patient and the extent of the fracture. The use of imaging guidance throughout the procedure ensures precision and safety, making percutaneous vertebral augmentation a valuable option in the management of vertebral compression fractures.