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AHA Coding Clinic® for HCPCS - 2005 Issue 1; FOR your INFORMATION

Reporting kyphoplasty under the outpatient prospective payment system (OPPS)

The Centers for Medicare and Medicaid Services (CMS) recently created two new C codes for the reporting of kyphoplasty. Kyphoplasty is a new surgical procedure created for the treatment of vertebral compression fractures. This procedure involves the creation of a void with partial restoration of vertebral body height by the insertion of an inflatable balloon tamp percutaneously into a vertebral body. Following this procedure bone cement is introduced under low pressure to fill the cavity in the vertebral body. A single level vertebral kyphoplasty procedure may involve either unilateral or bilateral vertebral body void creation and injection of cement...

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