Augmentation of Pedicle Screws

February 18, 2016

My neurosurgeon recently went to a meeting where someone told him that they bill a vertebroplasty (22521) for injection of cement around pedicle screws at the time of placement. They said as long as there is a separate diagnosis of osteoporosis then it’s ok. Is this true?

No. Augmentation of pedicle screws at the time of placement (e.g., 22840, 22842) is not separately reported and is considered inclusive to the instrumentation code billed.

*This response is based on the best information available as of 02/18/16.

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