Billing and Coding: Percutaneous Vertebral Augmentation (PVA) for Osteoporotic Vertebral Compression Fracture (VCF)

Percutaneous vertebral augmentation (PVA) is covered when medically necessary for osteoporotic vertebral compression fractures per the related LCD; coverage may also be available for other medically necessary indications, including cancer-related vertebral disease. Billing must comply with NCCI/OPPS edits, intraoperative venography is bundled and not separately payable, and the medical record must document history, physical exam, and pertinent diagnostic testing; refer to the LCD for any limits on treated levels (the total-level exclusion does not apply to multiple myeloma).

"Percutaneous vertebral augmentation (PVA) is covered for osteoporotic vertebral compression fracture (VCF) when medically necessary and supported by the related Local Coverage Determination (LCD)."

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