CPT® Code 72292

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Radiological supervision and interpretation, percutaneous vertebroplasty, vertebral augmentation, or sacral augmentation (sacroplasty), including cavity creation, per vertebral body or sacrum; under CT guidance

The CPT® Code 72292 pertains to the radiological supervision and interpretation involved in percutaneous vertebroplasty, vertebral augmentation, or sacral augmentation (sacroplasty). These procedures are primarily aimed at stabilizing a vertebral body that has experienced collapse, compression, or fracture. The goal is to prevent further fractures and to maintain the normal height and function of the vertebra, which is essential for alleviating chronic pain associated with these conditions. The procedure is performed under continuous CT guidance, which allows for precise navigation and placement of instruments within the vertebral body. This code specifically captures the radiological aspect of the procedure, which includes the creation of a cavity if necessary, to facilitate the injection of bone cement mixed with contrast medium. The use of CT guidance ensures that the physician can accurately visualize the defect and confirm that the bone cement adequately fills the intertrabecular bone marrow space, thereby enhancing the stability of the vertebra. Following the injection, the needle is withdrawn, and if required, the procedure may be repeated on the opposite side to achieve optimal results. A comprehensive written report detailing the radiological supervision and interpretation is generated by the physician, documenting the findings and the procedural steps undertaken during the intervention.