Overview of CPT Code 21267: Injection of bone cement into the vertebral body
CPT Code 21267 refers to the procedure of injecting bone cement into the vertebral body, primarily used to treat vertebral compression fractures. This minimally invasive technique aims to stabilize the vertebrae and alleviate pain.
When CPT Code 21267 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.
- Limited mobility or difficulty performing daily activities.
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 health.
Diagnostic Tests Before Procedure
Several diagnostic tests may be performed to 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 to ensure safety and effectiveness.
- Patient is positioned comfortably, often lying on their stomach.
- Local anesthesia is administered to numb the area.
- A small incision is made to insert a needle into the vertebral body.
- Bone cement is injected into the vertebra to stabilize it.
- The needle is removed, and the incision is closed.
Preparation for the Procedure
Proper preparation is essential for a successful outcome.
- Discuss any medications with your doctor, especially blood thinners.
- Arrange for transportation home post-procedure.
- Follow any fasting instructions provided by your healthcare team.
Recovery and Aftercare
Post-procedure care is vital for optimal 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 monitoring.
Possible Complications
While generally safe, there are potential risks associated with the procedure.
- Infection at the injection site.
- Allergic reaction to the bone cement.
- Increased pain or new fractures.
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Post-Procedure Follow-Up
Regular follow-up is important to monitor recovery.
- Initial follow-up within one week to assess pain and mobility.
- Further evaluations at one month and three months post-procedure.
- Ongoing monitoring for any signs of complications.
Alternative Treatments
There are several non-surgical options available.
- Physical therapy to strengthen back muscles.
- Pain management with medications.
- Bracing to support the spine.
Home Care Tips
Simple home care can aid in recovery.
- Apply ice to the injection site to reduce swelling.
- Take prescribed medications as directed.
- Engage in gentle stretching and mobility exercises.
Patient Education & Prevention
Education on prevention can help avoid future issues.
- Maintain a healthy diet rich in calcium and vitamin D.
- Engage in weight-bearing exercises to strengthen bones.
- Regular screenings for bone density, especially for at-risk populations.
Billing and Coding Information
CPT Code: 21267
Category: Surgical Procedures
Common Modifiers:
- 50 - Bilateral procedure
- LT - Left side
- RT - Right side
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.
- Out-of-pocket costs depend on individual insurance plans.
References and Sources
Frequently Asked Questions (FAQs)
What is the purpose of this procedure?
The procedure aims to stabilize fractured vertebrae and relieve pain.
How long does the procedure take?
The procedure typically takes about 1 to 2 hours.
Will I need to stay overnight in the hospital?
Most patients can go home the same day, but some may require observation.
