2018 icd 10 code for kyphoplasty thoracic spine

Full Answer

What is the ICD 10 code for thoracic region kyphosis?

Postural kyphosis, thoracic region 2016 2017 2018 2019 2020 2021 Billable/Specific Code M40.04 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM M40.04 became effective on October 1, 2020.

What is the CPT code for kyphoplasty?

CPT® includes three codes to describe kyphoplasty, which mirror the vertebroplasty codes: Code 22513 describes the initial vertebral body as treated in the thoracic area. Code 22514 describes the initial vertebral body as treated in the lumbar area. Select only one “initial” level (either 22513 or 22514).

What is the new ICD 10 for kyphoscoliosis?

The 2021 edition of ICD-10-CM M40.04 became effective on October 1, 2020. This is the American ICD-10-CM version of M40.04 - other international versions of ICD-10 M40.04 may differ. kyphoscoliosis ( M41.-)

What is the ICD 10 code for thoracic spine fusion?

Kyphosis of thoracic spine ICD-10-CM M40.204 is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 456 Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions with mcc 457 Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions with cc

What is the ICD 10 PCS code for kyphoplasty?

2022 ICD-10-PCS Procedure Code 0QU03JZ.

What is the ICD 10 code for thoracic compression fracture?

000A for Wedge compression fracture of unspecified thoracic vertebra, initial encounter for closed fracture is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .

What is thoracic kyphoplasty?

Kyphon® Balloon Kyphoplasty is a, minimally invasive procedure that can repair spinal fractures due to osteoporosis, cancer or benign lesion. Clinical studies have shown long-term improvements – in mobility, restored vertebral body height, and reduced back pain. Lumbar Hemilaminotomy Foraminotomy.

Is kyphoplasty the same as vertebral augmentation?

Vertebral augmentation is a category of surgical procedures that are used to stabilize a fractured vertebra with the goal of reducing the patient's pain. These procedures are termed vertebroplasty, kyphoplasty, or radiofrequency vertebral augmentation.

What is the CPT code for kyphoplasty?

Since there is no regular CPT code for the procedure being performed at a cervical level, use the unlisted CPT code 22899 for a cervical kyphoplasty procedure.

What is kyphoplasty procedure?

Like vertebroplasty, kyphoplasty injects special cement into your vertebrae — with the additional step of creating space for the treatment with a balloon-like device (balloon vertebroplasty). Kyphoplasty can restore a damaged vertebra's height and may also relieve pain.

What is a thoracic compression fracture?

Vertebral compression fractures (VCFs) occur when the bony block or vertebral body in the spine collapses, which can lead to severe pain, deformity and loss of height. These fractures more commonly occur in the thoracic spine (the middle portion of the spine), especially in the lower part.

Is kyphoplasty considered a fusion?

The most common surgical procedures for spinal compression fractures are lumbar fusion and vertebroplasty/kyphoplasty. In a lumbar fusion, the vertebrae are connected with rods. Minimally invasive lumbar fusion joins the bones of the spine in the lower back together so that there is no longer any motion between them.

When is kyphoplasty indicated?

Kyphoplasty is recommended if there is progressive collapse of the vertebral body, if the pain attributed to the VCF is incapacitating or if the pain attributed to the VCF does not respond to a reasonable period of conservative care.

What is the difference in vertebroplasty and kyphoplasty?

For a vertebroplasty, physicians use image guidance, typically fluoroscopy, to inject a cement mixture into the fractured bone through a hollow needle. During kyphoplasty, a balloon is first inserted into the fractured bone through the hollow needle to create a cavity or space.

Is kyphoplasty covered by insurance?

In recent years, a newer, minimally invasive procedure called kyphoplasty — which involves a cement injection into the broken vertebra to hold it in place — has become an increasingly popular option for these fractures, one that doctors note is well covered by insurance and Medicare.

When do you use vertebroplasty vs kyphoplasty?

Both vertebroplasty and kyphoplasty are successful about 90% of the time in significantly relieving the pain of fractured vertebrae. Kyphoplasty procedures are considered to be potentially more helpful in correcting vertebral collapse and wedging if it is done within six weeks of when the fracture is sustained.

Document Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

Title XVIII of the Social Security Act, §1862 (a) (1) (A) allows coverage and payment for only those services that are considered to be reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member.

Coverage Guidance

Indications: The principal indications for percutaneous vertebroplasty are painful osteoporotic or osteolytic compression fractures of the thoracic or lumbar vertebrae. In addition, there have been reports of using this procedure for painful hemangiomas or eosinophilic granulomas of the spine.

General Information

CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

Title XVIII of the Social Security Act, §1833 (e) prohibits Medicare payment for any claim which lacks the necessary information to process the claim.

Article Guidance

The information in this article contains billing, coding or other guidelines that complement the Local Coverage Determination (LCD) for Vertebroplasty/Kyphoplasty L33473.

ICD-10-CM Codes that Support Medical Necessity

Use of these codes does not guarantee reimbursement. The patient’s medical record must document that the coverage criteria in this policy have been met.

ICD-10-CM Codes that DO NOT Support Medical Necessity

All other ICD-10 codes not listed under “ICD-10 Codes that Support Medical Necessity” will be denied as not medically necessary.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.