Take a sneak peek at the changes in CPT codes for spine procedures for 2015!

Coding Advisory 2015

October 2014




NEW CODES

22510 Percutaneous vertebroplasty (bone biopsy included when performed), 1
vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance;
cervicothoracic

22511 Percutaneous vertebroplasty (bone biopsy included when performed), 1
vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance;
lumbosacral

+22512 each additional cervicothoracic or lumbosacral vertebral body
Codes 22510, 22511, 22512 are inclusive of fluoroscopic guidance and CT
guidance; codes 72291 and 72292 have been deleted. Codes 22510, 22511, 22512
include moderate sedation.

22513 Percutaneous vertebral augmentation, including cavity creation (fracture
reduction and bone biopsy included when performed) using mechanical device, 1
vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance;
thoracic

22514 Percutaneous vertebral augmentation, including cavity creation (fracture
reduction and bone biopsy included when performed) using mechanical device, 1
vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance;
lumbar

+22515 each additional thoracic or lumbar vertebral body
Codes 22513, 22514, 22515 are inclusive of fluoroscopic guidance and CT



guidance; codes 72291 and 72292 have been deleted. Codes 22513, 22514, 22515
include moderate sedation.
22858 Total disc arthroplasty, anterior approach, including discectomy with end plate
preparation (includes osteophytectomy for nerve root or spinal cord decompression
and microdissection); second level, cervical
Do not report in conjunction with 0375T.
0375T Total disc arthroplasty, anterior approach, including discectomy with end
plate preparation (includes osteophytectomy for nerve root or spinal cord
decompression and microdissection), cervical, 3 or more levels
Do not report in conjunction with 22851, 22856, 22858.
27279 Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect
visualization), with image guidance, includes obtaining bone graft when performed,
and placement of transfixing device
DELETED CODES
22520 Percutaneous vertebroplasty (bone biopsy included when performed), 1
vertebral body, unilateral or bilateral injection; thoracic
See new code 22510
22521 Percutaneous vertebroplasty (bone biopsy included when performed), 1
vertebral body, unilateral or bilateral injection; lumbar
See new code 22511
+22522 each additional thoracic or lumbar vertebral body
See new code 22512
22523 Percutaneaous augmentation, including cavity creation using mechanical
device, 1 vertebral body, unilateral or bilateral cannulation; thoracic
See new code 22513
22524 Percutaneaous augmentation, including cavity creation using mechanical
device, 1 vertebral body, unilateral or bilateral cannulation; lumbar
See new code 22514
+22525 each additional thoracic or lumbar vertebral body
See new code 22515
72291 Radiological supervision and interpretation, percutaneous vertebroplasty,
vertebral augmentation, or sacral augmentation, including cavity creation, per
vertebral body or sacrum; under fluoroscopic guidance
See new codes 22510, 22511, 22512, 22513, 22514, 22515
72292 Radiological supervision and interpretation, percutaneous vertebroplasty,




vertebral augmentation, or sacral augmentation, including cavity creation, per
vertebral body or sacrum; under CT guidance
See new codes 22510, 22511, 22512, 22513, 22514, 22515

0334T Sacroilliac stabilization for arthrodesis, percutaneous or minimally invasive
(indirect visualization), includes obtaining and applying auograft or allograft
(structural or morselized), when performed, includes image guidance when
performed
See new code 27279

0092T Total disc arthroplasty, anterior approach, including discectomy with end
plate preparation (includes osteophytectomy for nerve root or spinal cord
decompression and microdissection); each additional level, cervical
See new codes 22858 and 0375T



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Reference: CPT 2015 Professional Edition; American Medical Association (2014)
Disclaimer: The information provided is general coding information only - it is neither legal advice nor is
it advice about how to code, complete or submit any particular claim for payment. It is always the
provider's responsibility to determine and submit appropriate codes, charges, modifiers and bills for
services rendered. This information is provided as of the date listed above and all coding and
reimbursement information is subject to change without notice. Before filing any claims, providers
should verify current requirements and policies with the payer. Thank you for your compliance.