In Coding
Jun 27th, 2016
When reporting vertebroplasty, code selection depends on the location and number of vertebral bodies treated. Choose a single “initial level” code based on the location of the first vertebral body treated: Cervicothoracic: 22510 Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; cervicothoracic ...
Mar 1st, 2015
New codes distinguish between the two spinal surgeries, and bundle additional services. By G.J. Verhovshek, MA, CPC Percutaneous vertebroplasty is a minimally invasive procedure during which the surgeon injects “bone cement” (methyl methacrylate) into a vertebra(e) to fill vertebral fractures and restore spinal integrity. Percutaneous vertebral augmentation (a.k.a., kyphoplasty or balloon-assisted ...
Aug 2nd, 2013
When it comes to the long-running, whistleblower lawsuit that has kyphoplasty hospital surgeons wanting clearer Medicare guidance on kyphoplasty, the monetary settlement numbers are astounding: Fifty five hospitals across 21 states agreed pay a combined $34 million in false claim settlements. Individual settlements ranged from $552,000 to more than $4 million. The largest single-hospital settlement...
In Coding
Oct 15th, 2010
The American Academy of Orthopaedic Surgeons (AAOS) board of directors recently approved at their Sept. 24 meeting a new clinical practice guideline on the treatment of osteoporotic spinal compression fractures. The guideline includes 11 recommendations, but only two of those recommendations carry any real weight, the board said. Whereas the board found that for nine of the 11 recommendations the ...
In Audit
Jun 11th, 2010
Nine hospitals in seven states recently agreed to pay the federal government more than $9.4 million to settle whistleblower allegations that they overcharged Medicare for spinal kyphoplasty procedures, the U.S. Department of Justice announced May 17. Experts say this isn’t the first settlement of this nature, and it won’t be the last. In May and September ...