Augmentation of Pedicle Screws

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Question:

My neurosurgeon went to a course and was told he could bill a vertebroplasty (22521) for injection of cement around pedicle screws at the time of placement as long as he had a separate diagnosis of osteoporosis. Is this right?

Answer:

No, it is not correct. Augmentation of pedicle screws at the time of placement (e.g., 22840, 22842) is not separately reported and is considered inclusive to the instrumentation code billed.