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HCPCS C1062: Intravertebral Body Fracture Augmentation with Implant
HCPCS Level II code C1062 represents intravertebral body fracture augmentation using an implant such as metal or polymer. The code captures a targeted spine procedure used to stabilize vertebral body fractures and support structural integrity following trauma, osteoporotic collapse, or other vertebral compromise. Nationally, procedures captured by this code are relevant due to an aging population, rising rates of vertebral fragility fractures, and ongoing technology adoption in spine stabilization.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of how the service is categorized clinically, common sites of service, and typical billing considerations. The publication also provides benchmarks and coverage patterns where available, notes of recent policy activity affecting device-based vertebral augmentation, and clinical context for when implant-based augmentation is performed versus alternative vertebral procedures.
This summary equips payers, providers, and policy analysts with concise context for C1062, highlighting its clinical purpose, typical care settings, and the principal payers whose coverage and coding rules are commonly applicable at the national level. Data not available in the input is noted where specific payer policies, utilization data, or associated ICD-10 mappings would normally appear.
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Billing Code Overview
HCPCS Level II code C1062 describes intravertebral body fracture augmentation with implant (e.g., metal, polymer). This procedure involves insertion of an internal implant into a vertebral body to stabilize or augment an intravertebral fracture.
Service Type: Fracture augmentation with implant
Typical Site of Service: Hospital inpatient or outpatient surgical setting, ambulatory surgical center, or specialized spine surgery center