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CPT 0200T: Sacral Augmentation for Fractured Sacrum
CPT code 0200T designates a minimally invasive sacral augmentation procedure in which a provider injects cement material into one side of a fractured sacrum, optionally creating a cavity with a balloon or mechanical device and using imaging guidance and bone biopsy. This code is relevant nationally as sacral insufficiency fractures and traumatic sacral fractures are increasingly managed with percutaneous augmentation techniques to reduce pain and improve stability, affecting inpatient and outpatient procedural volumes and payer coverage policies.
Key payers in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for sacral augmentation, typical sites of service (hospital outpatient departments, ambulatory surgical centers, interventional radiology suites), and the service type classification. The publication outlines common modifiers and coding considerations where available. It also provides benchmarks and policy-relevant insights when present in payer determinations, and highlights areas where data are not available in the input.
This summary is intended for national audiences including coding professionals, reimbursement analysts, and clinical program managers seeking a clear description of what CPT code 0200T represents, where it is typically performed, and which major payers to consider when evaluating coverage and billing strategies.
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Billing Code Overview
CPT code 0200T describes a sacral augmentation procedure in which the provider injects bone cement through a needle into one side of a fractured sacrum. The procedure may include creating a cavity in the sacral body using a balloon or mechanical device, and may be performed with imaging guidance and bone biopsy.
Service Type: Minimally invasive sacral augmentation / vertebral augmentation
Typical Site of Service: Hospital outpatient department or ambulatory surgical center, with possible performance in an interventional radiology suite or similar imaging-equipped procedural setting.