Overview of CPT Code 21244: Injection of bone cement into vertebral body
CPT Code 21244 refers to the procedure of injecting bone cement into a vertebral body, primarily used to treat vertebral compression fractures. This minimally invasive technique aims to stabilize the spine and alleviate pain.
When CPT Code 21244 is Used?
This procedure is indicated in specific clinical scenarios.
- Vertebral compression fractures due to osteoporosis.
- Pathological fractures from tumors or malignancies.
- Severe back pain associated with vertebral fractures not responding to conservative treatment.
Symptoms Indicating This Procedure
Patients may report various symptoms that lead to the consideration of this procedure.
- Severe back pain, especially when standing or walking.
- Loss of height or a stooped posture.
- Numbness or weakness in the legs.
- Difficulty in performing daily activities due to pain.
Causes and Risk Factors
Understanding the underlying causes and risk factors is crucial for prevention.
- Osteoporosis leading to weakened bones.
- Age-related bone density loss.
- Previous history of fractures.
- Certain cancers that affect bone integrity.
Diagnostic Tests Before Procedure
Several diagnostic tests help confirm the need for this procedure.
- X-rays to visualize the fracture.
- MRI to assess the extent of the fracture and surrounding tissues.
- CT scans for detailed imaging of the vertebrae.
Procedure Description
The procedure involves several key steps.
- Patient is positioned comfortably, often lying on their stomach.
- Local anesthesia is administered to numb the area.
- A needle is inserted into the fractured vertebra under fluoroscopic guidance.
- Bone cement is injected into the vertebral body to stabilize it.
- The needle is removed, and the site is bandaged.
Preparation for the Procedure
Proper preparation is essential for a successful outcome.
- Discuss any medications with your doctor, especially blood thinners.
- Arrange for someone to drive you home post-procedure.
- Follow any fasting instructions if sedation is planned.
Recovery and Aftercare
Post-procedure care is vital for recovery.
- Rest for the first 24 hours after the procedure.
- Gradually resume normal activities as tolerated.
- Follow up with your doctor for pain management and assessment.
Possible Complications
While generally safe, there are potential risks.
- Infection at the injection site.
- Allergic reaction to the bone cement.
- Increased pain or new fractures in adjacent vertebrae.
Secure, compliant, and built for trust
HIPAA-compliant and designed with privacy in mind, your patient’s data is protected. Focus on care while we safeguard your information.
Learn more
Post-Procedure Follow-Up
Monitoring after the procedure is important.
- Follow-up appointment within 1-2 weeks to assess recovery.
- Regular check-ups to monitor spine health and pain levels.
Alternative Treatments
There are non-surgical options available.
- Physical therapy to strengthen back muscles.
- Pain management with medications.
- Bracing to support the spine.
Home Care Tips
Simple tips can aid in recovery at home.
- Apply ice packs to reduce swelling.
- Engage in gentle stretching exercises as advised.
- Maintain a healthy diet to support bone health.
Patient Education & Prevention
Education is key to preventing future issues.
- Engage in weight-bearing exercises to strengthen bones.
- Ensure adequate calcium and vitamin D intake.
- Regular screenings for osteoporosis, especially in at-risk populations.
Billing and Coding Information
CPT Code: 21244
Category: Surgical Procedures
Common Modifiers:
- -50 Bilateral procedure
- -59 Distinct procedural service
Average Cost and Insurance Coverage
Costs can vary based on several factors.
- Average cost ranges from $5,000 to $15,000.
- Most insurance plans cover the procedure if deemed medically necessary.
References and Sources
Frequently Asked Questions (FAQs)
What is the purpose of the injection?
The injection aims to stabilize the vertebra and relieve pain.
How long does the procedure take?
The procedure typically takes about 1 hour.
Will I need anesthesia?
Yes, local anesthesia is used to minimize discomfort.
What is the recovery time?
Most patients can return to normal activities within a few days.
