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HCPCS C7505: Percutaneous Vertebroplasty, First Lumbosacral and Additional Levels
HCPCS Level II code C7505 represents percutaneous vertebroplasty of the first lumbosacral vertebral body and any additional cervicothoracic or lumbosacral levels, inclusive of bone biopsy when performed and all imaging guidance. This procedural code captures a commonly used, minimally invasive intervention for vertebral body stabilization and pain management. Nationally, accurate coding of vertebroplasty affects clinical documentation, payer coverage determinations, and facility billing for image-guided spinal interventions.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise review of the code’s clinical scope, typical sites of service, and the role of bundled imaging guidance in coding. The publication outlines benchmark elements relevant to facility and professional billing, summarizes common modifier usage patterns for related services, and highlights policy and coverage considerations that commonly affect reimbursement and prior authorization requirements. The report also situates C7505 within the broader set of spine intervention codes to aid coding accuracy and claim submission workflows.
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Billing Code Overview
HCPCS Level II code C7505 describes percutaneous vertebroplasty procedures involving the first lumbosacral vertebral body and any additional cervicothoracic or lumbosacral vertebral bodies. The descriptor includes bone biopsy when performed, and covers unilateral or bilateral injection techniques. The listing specifies that the code is inclusive of all imaging guidance, indicating that image-directed needle placement and fluoroscopic or CT guidance are part of the bundled service.
Service type: Minimally invasive spinal procedure; vertebroplasty with or without bone biopsy.
Typical site of service: Hospital outpatient departments, ambulatory surgery centers, and interventional radiology suites where percutaneous spinal procedures and imaging guidance are performed.