REIMBURSEMENT VERTEBRAL AUGMENTATION PROCEDURES

REIMBURSEMENT CODING AND PAYMENT GUIDES

To ensure that a patient meets the medically necessary policy criteria, or to find out if coverage prior authorization/predetermination is required, please contact the patient’s payer directly. Medtronic provides this information for your convenience only. It is the responsibility of the provider to determine coverage and submit appropriate codes, modifiers, and charges for the services rendered. The information below provides assistance for FDA approved or cleared indications.

The coding includes information on the diagnosis and procedure codes applicable to all sites-of-service to be used when billing, along with Medicare national average payment rates. For specific coding assistance with your facility, please contact your Medtronic sales or health economics representative.

pdf Balloon Kyphoplasty Reimbursement Guide (.pdf)

ICD-10 codes, CPT codes, and Medicare average payment rates for balloon kyphoplasty (BKP).

657KB

DOWNLOAD BKP GUIDE
pdf Vertebral Augmentation and Radiofrequency Ablation Reimbursement Guide (.pdf)

Device C-codes, CPT codes, and Medicare average payment rates for vertebral augmentation (VA) and radiofrequency ablation (RA).

199KB

DOWNLOAD VA AND RA GUIDE
pdf Vertebroplasty Reimbursement Guide (.pdf)

ICD-10 codes, CPT codes, and Medicare average payment rates for vertebroplasty.

637KB

DOWNLOAD VERTEBROPLASTY GUIDE

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U.S. Clinician Services 
 
800-876-3133

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