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

Percutaneous vertebral augmentation (PVA) is covered only for osteoporotic vertebral compression fractures under this article (coverage for other medically necessary indications remains available), venography during the procedure is not separately payable, cancer‑related uses are unaffected, and the total‑levels exclusion does not apply to multiple myeloma. Claims must follow NCCI/OPPS edits, report the referring/ordering physician name and NPI, bill all same‑day physician/provider services on one claim, and retain medical record documentation supporting medical necessity (relevant history, exam, and diagnostic test results).