Billing and Coding: Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF) (A56572) - R6 - Effective January 10, 2021

Date Posted: June 13, 2024

This coverage article has been revised and published for notice under contract numbers: 01112 (NCA), 01182 (SCA), 01212 (AS, GU, HI, NMI), and 01312 (NV).

Effective Date: January 10, 2021

Summary of Article Changes:

Revised the Group 2 asterisk explanation for more clarification, stating "Two diagnosis codes must be reported for Group 2. M84.58XA or M84.58XS must be reported in addition to one of the CXX.XX diagnosis codes listed."

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Last Updated Jul 09 , 2024