Stryker curette

[hcrypt]

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Striker rep states that using their curette system to create the cavity before pmma injection allows for billing as kyphoplasty. Any thoughts?

Thanks in advance

 

[lobelsteve]

Tried the curette. It sucks.
I would not recommend billing it as a kyphoplasty.

 

[Orin]

Striker rep states that using their curette system to create the cavity before pmma injection allows for billing as kyphoplasty. Any thoughts?

Thanks in advance

Technically it is a cavity. Merit Medical has an osteotome system that creates channels so that sounds similar. I do think they all create some increased safety with the initial injection but not sure you'll get any fracture reduction/height gain.

It'd hold up from a billing perspective but feels slimey

 

[Ferrismonk]

With a curette, you're not restoring height and therefore not a ballooon kyphoplasty, but a rather a (low-pressure) vertebroplasty. If you use the curette, then use a ballon, then cement then you can bill a kypho.

And yes, the curette sucks.

 

[BobBarker]

Yes, I used to curette them balloon just as @Ferrismonk suggested. No longer use curette.

 

[PinchandBurn]

Striker rep states that using their curette system to create the cavity before pmma injection allows for billing as kyphoplasty. Any thoughts?

Thanks in advance

The code is the same for cavity creation and balloon kyphoplasty. They both fall into vertebral Augmentation

The Stryker currett doesn't really cross midline. It's not like merrits osteotome where channels can be created and one can get past midline etc.

 

[perromaxfilm]

The currette can help create addition pathways through sclerotic bone. This is useful of the balloon doesnt give great inflation. For example, sometimes the balloon doesnt quite stretch across midline on unipedicular access, or sclerosis limits inflation on one side. You can open it at 45 and 90 degrees to create a bigger area. It is an extra cost. It would be used in addition to kyphoolasty not in place of it. No balloon = vertebroplasty.

 

[Orin]

22511

PERCUTANEOUS VERTEBROPLASTY (BONE BIOPSY INCLUDED WHEN PERFORMED), 1 VERTEBRAL BODY, UNILATERAL OR BILATERAL INJECTION, INCLUSIVE OF ALL IMAGING GUIDANCE; LUMBOSACRAL

22514

PERCUTANEOUS VERTEBRAL AUGMENTATION, INCLUDING CAVITY CREATION (FRACTURE REDUCTION AND BONE BIOPSY INCLUDED WHEN PERFORMED) USING MECHANICAL DEVICE (EG, KYPHOPLASTY), 1 VERTEBRAL BODY, UNILATERAL OR BILATERAL CANNULATION, INCLUSIVE OF ALL IMAGING GUIDANCE; LUMBAR

The AAMC CPT code language is specifically for cavity creation with a mechanical device, so it covers all of the above, including the osteotome systems or the Stryker SpineJack.