HCPCS Level II code C7504 represents percutaneous vertebroplasty procedures for the first cervicothoracic vertebral body and any additional cervicothoracic or lumbosacral levels, inclusive of imaging guidance and bone biopsy when performed. This code captures image-guided vertebral augmentation interventions used to stabilize fractured or painful vertebral bodies and is nationally relevant due to increasing utilization of minimally invasive spinal procedures and associated cost and quality oversight. Key payers in the national landscape include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.

Readers will find a focused overview of clinical scope and coding context, payer coverage patterns, common billing modifiers, and benchmarking considerations relevant to hospital outpatient departments and ambulatory surgery centers. The publication highlights reimbursement and utilization benchmarks, coding nuances for multi-level procedures, and policy updates that affect prior authorization and documentation requirements. Clinical context covers indications for vertebroplasty and the inclusion of imaging guidance and bone biopsy in the service definition. Data not available in the input is noted explicitly where applicable.