How should a percutaneous vertebroplasty procedure be coded when performed at multiple levels?
CPT codes 22520 “thoracic” and 22521 “lumbar” are reported for single level vertebroplasties, unilateral or bilateral. If performed on additional thoracic or lumbar bodies during the same operative episode, add-on code 22522 should be used as an additional code for the respective vertebral body. For example, if a vertebroplasty is performed at T12, L1, L2, and L3, codes 22520 (T12), 22521 (L1), 22522 (L2), and 22522 (L3) should be reported.
