CPT® Code 22514

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; lumbar

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 experiencing significant pain and functional impairment due to 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 insertion of specialized instruments. The procedure involves creating a working channel within the vertebra, which allows for the introduction of a mechanical device that aids in cavity creation. This cavity is subsequently filled with bone graft material or bone cement, which helps stabilize the vertebra and alleviate pain. The inclusion of fracture reduction and the option for bone biopsy when necessary further enhances the therapeutic potential of this intervention. Overall, percutaneous vertebral augmentation represents a critical option for managing vertebral compression fractures, aiming to restore vertebral integrity and improve patient quality of life.