How To Use CPT Code 0657T

CPT 0657T describes a procedure known as vertebral body tethering, which is used to treat spinal curvature caused by scoliosis. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0657T?

CPT 0657T is a code used to describe the vertebral body tethering procedure. This procedure involves the placement of screws in the vertebrae and the connection of these screws using a flexible cable. It is typically performed to treat spinal curvature caused by scoliosis. The code specifically applies to cases where eight or more vertebral segments are involved.

2. Official Description

The official description of CPT code 0657T is: ‘Vertebral body tethering, anterior; 8 or more vertebral segments.’ It is important to note that this code should not be reported in conjunction with certain other codes related to spinal procedures.

3. Procedure

1. During the vertebral body tethering procedure, the patient is appropriately prepped and anesthetized.
2. The healthcare provider accesses the spine, typically through a small incision in the side, and may use a scope for visualization.
3. Screws are inserted at each target vertebral level.
4. A strong cord is used to connect the screws, and tension is applied to partially straighten the spine.
5. The surgical instruments are then removed, and the access sites are closed.

4. Qualifying circumstances

Patients who may qualify for the vertebral body tethering procedure are typically children with idiopathic scoliosis who have not yet reached skeletal maturity. Idiopathic scoliosis refers to an abnormal curvature of the spine with no known cause. It is important to note that this procedure is specifically intended for cases involving eight or more vertebral segments.

5. When to use CPT code 0657T

CPT code 0657T should be used when performing the vertebral body tethering procedure on eight or more vertebral segments. It is important to ensure that the procedure meets the specific criteria outlined in the code description.

6. Documentation requirements

To support a claim for CPT code 0657T, the healthcare provider must document the following information:

• Patient’s diagnosis of idiopathic scoliosis
• Details of the procedure, including the number of vertebral segments involved
• Date of the procedure
• Any additional relevant information or complications

7. Billing guidelines

When billing for CPT code 0657T, it is important to ensure that the procedure meets the specific criteria outlined in the code description. This code should not be reported in conjunction with certain other codes related to spinal procedures. It is also important to follow any additional guidelines provided by payers or coding authorities.

8. Historical information

CPT code 0657T was added to the Current Procedural Terminology system on July 1, 2021. As of now, there have been no updates or changes to the code since its addition. It is important to stay updated on any future changes or revisions to ensure accurate coding and billing.

9. Examples

1. A healthcare provider performs the vertebral body tethering procedure on a 12-year-old patient with idiopathic scoliosis involving 10 vertebral segments.
2. During the procedure, the healthcare provider places screws and connects them using a flexible cable to partially straighten the spine of a 14-year-old patient with scoliosis affecting 9 vertebral segments.
3. A 16-year-old patient with idiopathic scoliosis involving 12 vertebral segments undergoes the vertebral body tethering procedure to correct the spinal curvature.
4. The healthcare provider performs the procedure on an 11-year-old patient with scoliosis affecting 8 vertebral segments, using screws and a flexible cable to straighten the spine.
5. A 13-year-old patient with idiopathic scoliosis involving 11 vertebral segments undergoes the vertebral body tethering procedure to correct the spinal curvature.
6. During the procedure, the healthcare provider places screws and connects them using a flexible cable to partially straighten the spine of a 15-year-old patient with scoliosis affecting 9 vertebral segments.
7. A 17-year-old patient with idiopathic scoliosis involving 14 vertebral segments undergoes the vertebral body tethering procedure to correct the spinal curvature.
8. The healthcare provider performs the procedure on a 10-year-old patient with scoliosis affecting 8 vertebral segments, using screws and a flexible cable to straighten the spine.
9. A 12-year-old patient with idiopathic scoliosis involving 9 vertebral segments undergoes the vertebral body tethering procedure to correct the spinal curvature.
10. During the procedure, the healthcare provider places screws and connects them using a flexible cable to partially straighten the spine of a 14-year-old patient with scoliosis affecting 10 vertebral segments.