Here’s how to report radiological assistance your surgeon utilized and get full payment when your surgeon performs vertebroplasties.
When performing a percutaneous vertebroplasty, your surgeon will use imaging to position the needle or to assess the injection technique. Use 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 (Radiological supervision and interpretation, percutaneous vertebroplasty, vertebral augmentation, or sacral augmentation [sacroplasty], including cavity creation, per vertebral body or sacrum; under CT guidance) to report the radiological supervision depending upon whether your surgeon uses computed tomography (CT) instead of fluoroscopic guidance.
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In case the procedure is performed in a facility setting, you should append modifier 26 (Professional component). “This has been historically separately reportable to account for circumstances in which the imaging interpretation is performed by a separate physician, typically a radiologist, from the physician performing the vertebroplasty. Based on trends in CPT®, the services may become bundled if a significant majority of both services are performed by the same physician,” says Gregory Przybylski, MD, director of neurosurgery, New Jersey Neuroscience Institute, JFK Medical Center, Edison.
Caution: “If you append modifier 26, you must save a hard copy of the image(s), and you must dictate a separate procedural report, and sign it (or electronically sign it) separately,” says Bill Mallon, MD, medical director, Triangle Orthopedic Associates, Durham, N.C.
Coding scenario: “If your surgeon performs vertebroplasty at T12 and L1 and uses fluoroscopic guidance, you report...
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