Neurology & Pain Management Coding Alert

Report radiologic supervision and interpretation but skip bone biopsies.When your pain management specialist performs a vertebroplasty or kyphoplasty procedure, you'll need to decide whether you can code and report additional services. Remember these two checkpoints to decide what you can -- and can't -- separately report.Say 'Yes' to Extra Radiology PayCPT includes two sets of codes for vertebroplasty and kyphoplasty:22520-+22522 -- Percutaneous vertebroplasty, one vertebral body, unilateral or bilateral injection ...22523-+22525 -- Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device, one vertebral body, unilateral or bilateral cannulation (e.g., kyphoplasty) ...Good news: You can report the physician's imaging for needle positioning and injection assessment during a kyphoplasty or vertebroplasty procedure. You'll use either 72291 (Radiological supervision and interpretation, percutaneous vertebroplasty, vertebral augmentation, or sacral augmentation [sacroplasty], including cavity creation, per vertebral body or sacrum; under fluoroscopic guidance) or 72292 (... under CT guidance), depending on whether the [...]