CPT® Code 22525

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); 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 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 to the precise location within the vertebra. This approach allows for the potential collection of needle biopsies if necessary. Following this, a guidewire is introduced through the needle, which is then removed to allow for the insertion of a cannula. The procedure is typically performed on one side of the vertebra and may be mirrored on the opposite side to ensure comprehensive treatment. A mechanical device, such as an expandable balloon tamp, is then utilized to create a cavity within the vertebra while simultaneously instilling contrast medium to visualize the process. The mechanical device may also assist in reducing the fracture. Once the cavity is established, it is filled with either morselized bone graft material, polymethylmethacrylate (PMMA) bone cement, or another suitable bone graft substitute, ensuring that the filling process is monitored through the contrast medium. This meticulous approach aims to restore structural integrity and alleviate pain associated with vertebral compression fractures.