CPT® Code 22524

Deleted

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

Percutaneous vertebral augmentation is a minimally invasive procedure aimed at treating 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 positioned prone, allowing the physician to access the affected vertebra effectively. Utilizing fluoroscopic guidance, a small incision is made over the targeted vertebra, and a working channel is created by advancing a needle into the vertebra. This channel facilitates the introduction of a guidewire, which is then used to place a cannula for further intervention. The procedure involves the creation of a cavity within the vertebra, which is achieved through the use of a mechanical device, such as an expandable balloon tamp. This device not only helps in cavity creation but may also assist in reducing the fracture. The cavity is subsequently filled with bone graft material or polymethylmethacrylate (PMMA) bone cement, ensuring stability and pain relief for the patient. The procedure is performed on one vertebral body at a time, with specific codes designated for additional vertebrae if necessary.