CPT® Code 22515

Add-On Code

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; each additional thoracic or lumbar vertebral body (List separately in addition to code for primary procedure)

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. The use of imaging guidance, such as fluoroscopy or CT scans, ensures precise targeting of the vertebral body. A small incision is made over the fracture site, and a working channel is created by advancing a needle into the vertebra. This channel allows for the potential collection of biopsy samples if necessary. The procedure may involve unilateral or bilateral cannulation, depending on the extent of the fracture and the treatment plan. A mechanical device, such as a kyphoplasty balloon, is then utilized to create a cavity within the vertebra, which is filled with bone graft material or polymethylmethacrylate (PMMA) cement to stabilize the fracture and restore vertebral height. This augmentation not only alleviates pain but also aims to improve the patient's overall quality of life by enhancing mobility and reducing the risk of further vertebral collapse.