Vertebroplasty or Kyphoplasty with Bone Biopsy

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Question:

When I do a vertebroplasty or kyphoplasty I always do a bone biopsy at the same level to make sure the patient does not have cancer. I’ve never billed for the bone biopsy but I’ve been told by others that I can. What should I do?

Answer:

Listen to your instinct and not bill for the bone biopsy. If you did a bone biopsy at a different level than the primary procedure, then you may report a code (e.g., 20225) for that separate procedure. However, a bone biopsy performed at the same spinal level is not billable.