Pedicle Screw Augmentation

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Question:

The 80 yr old pt had a L2 burst fracture and cauda equina syndrome. I did a decompression of L1, L2 & L3, with a postolateral fusion of T11 to L4 and also injected cement (kyphoplasty) in T10,11,12, L1, 3, 4 & 5 because the patient had severe osteoporosis the screws wouldn’t hold without the cement. Can I code 22323 / 22325 for the kypho/cement?

Answer:

Actually the vertebral augmentation codes (22323 – 22325) require augmentation of a vertebral body defect so it is not an accurate code. There is no separate coding for augmenting the pedicle screws with methylmethacrylate (cement).