Vivigen bone graft cpt. A common use of bone grafts is in spinal fusion procedures.
Vivigen bone graft cpt • Bioactive Bone Graft Matrix (synthetic bone grafts) and Combination Bioactive Substitutes At every step of ViviGen’s processing, LifeNet Health has focused on maintaining the highest level of bone cell viability. ViviGen is a 361 Human Cells, Tissues, and Cellular and Tissue-based Product (HCT/P) comprised of cryopreserved corticocancellous bone containing endogenous lineage committed bone cells combined with demineralized bone Studies submitted to the FDA compared the INFUSE Bone Graft to autogenous iliac crest bone graft in patients with degenerative lumbar disc disease. If internal hardware needs to be removed in order to perform a procedure, it's not reported separately. properTieS oF Bone graFTS Bone grafts differ in the characteristics they possess. The old plate was removed without difficulty. Bone grafts are used in a variety of surgical procedures including the repair of non-healing fractures, bone defects due to infection, trauma, and other abnormalities as well as joint problems. 4: Bone Graft Substitutes Bone Graft Substitutes Non- Indications Not Medically Necessary ALL of the following bone graft substitutes (for the enhancement of bone healing) are considered not medically necessary: rhBMP-7 (i. ViviGen and ViviGen Formable provide the same advantages as autografts to %PDF-1. Bone Graft related CPT Codes. I got an unlisted procedure, humerus or elbow 24999 through 3M. A: Some payers specifically reference ViviGen as “experimental and/or investigational” in their coverage Apr 5, 2019 · The 2019 CPT® codebook introduced three new, add-on codes to report bone allograft: + 20932 Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in addition to code for primary procedure) Jul 18, 2014 · Morselized bone grafts are small pieces of bone used to pack defects and to promote new bone growth. 3(d). At first I thought 24525 but did not know how to code the allograft. Virginia Beach, Va. ViviGen ® Cellular Bone Matrix is comprised of cryopreserved viable, lineage-committed bone cells within corticocancellous bone matrix and demineralized bone, delivering all three properties necessary for bone formation. Compression Plate and Screws) is the only method of fixation used/usable for Oct 23, 2008 · My Podiatrist performed an open treatment of calcaneal fracture (28415). com Q: I’m finding that my payers frequently deny cases involving ViviGen® Cellular Bone Matrix. Please see our current reimbursement guides below or contact our support service center. g. The bone graft is the material used that will allow a bridge between two vertebral segments in the spine, resulting in spinal fusion. CPT Code 23485. DX: Nonunion of left ulna status post open reduction, internal fixation. Apr 19, 2019 · No code for the bone graft There is no code for the bone graft. ViviGen Cellular Bone Matrix is a formulation of cryopreserved viable . cortical cancellous bone matrix and demineralized bone. 2 Pre-clinical studies suggest We would like to show you a description here but the site won’t allow us. • Seven months after surgery, the combination of ViviGen Bone Graft and the custom crib cages restored the putty-like consistency, allowing the graft to be shaped and molded. 1 ViviGen is being utilized in fusion, non-union, and malunion for foot/ankle, long bone, and craniomaxillofacial trauma and reconstruction in patients Current Procedural Terminology (CPT®) codes and Medicare Physician Fee Schedule values for common spine procedures are indicated below. CPT Code 27724, Surgical Procedures on the Leg (Tibia and Fibula) and Ankle Joint, Repair, Revision, and/or Reconstruction Procedures on the Leg (Tibi CPT code 24435 represents a surgical intervention aimed at correcting nonunion or malunion of the humerus, which is the long bone in the upper arm. Specifically, the study showed that average charges associated with procedures using ViviGen were up A patient undergoing spinal fusion surgery requires a small bone graft to facilitate the fusion process between vertebrae. Food and Drug Administration in 21 CFR 1271. CPT Code 23490 CPT code 21215 represents the surgical procedure of grafting bone to the mandible, which includes the process of obtaining the graft material. ViviGen MIS Surgical Technique Guide. 2 Pre-clinical studies suggest CPT code 28725 (Arthrodesis, subtalar) does not include bone marrow aspiration 38220 so you could report the two codes together. ViviGen meets the criteria set out in 21 CFR 1271. Surgical Repair of a Tibial Metaphyseal Defect Using ViviGen Formable® Cellular Bone Matrix CASE STUDY Ari Kaz, MD; Chicago, IL, USA Sep 20, 2019 · In ICD-10-PCS coding the type of bone graft product is represented with the 6th character (device) of the fusion code. Thank I was thinking ViviGen is a Human Cells, Tissues, and Cellular and Tissue-based Product (HCT/P) comprised of cryopreserved viable, lineage committed bone cells within a corticocancellous bone matrix and demineralized bone delivering all three properties necessary for bone formation. CPT 23485 describes the procedure of an osteotomy of the clavicle with or without internal fixation, including using a bone graft for nonunion or malunion, as well as obtaining the graft and necessary fixation. Stem cell therapy (autologous or allogeneic): Has been proposed as a way to stimulate and promote bone healing. 2 The graft material used in spinal fusion procedures can be categorized generally into 3 main types of materials: autogenous The provider applies bone graft material to the mandible, or lower jaw, to repair deformity of the mandible due to fracture, injury, tumor resection, or congenital defect, such as a thin mandible, to restore functional ability and cosmetic appearance. American Association of Orthopedic Surgeons - 2020. ViviGen is a Human Cells, Tissues, and Cellular and Tissue-based Product (HCT/P) as defined by the U. Stem cells can be harvested from iliac crest bone marrow, adipose tissue, or peripheral blood from the Bone lengthening: A surgical procedure aimed at increasing the length of a bone to correct limb length discrepancies, often involving the use of grafts or other techniques. S. Feb 1, 2025 · Iliac crest autologous bone graft has long been the “gold standard” bone graft material due to its successful bone forming properties [8]. INTENDED USE VIA bone products are intended for use as a bone void filler. Bone Chips Bone Cells Representative ViviGen bone matrix from 2 different donors were thawed and tested for growth potential by the Alamar blue assay. . GOV and pull up the CMS NCCI Surgery Policy Manual for orthopedics. Autologous bone graft remains the gold standard by which bone graft substitutes are compared in spine fusion surgery. Graft was ViviGen and autologous bone graft in combination with customized crib cage for mandibular reconstruction after three self-inflicted gunshots to the face of a 72-year-old man. , dowel or button) and 20902 Bone graft, any 2023 Current Procedural Terminology (CPT) Professional Edition. it satisfies the scaffolding requirements for a fusion. In such a case, your clinician might be justified in placing a graft. Bone grafts and graft substitutes are materials that are used to rapidly induce or support biologic bone remodeling after surgical procedures to reconstruct bony structures and/or to provide initial structural support. Osteoplasty: Surgical repair or alteration of bone, which may involve reshaping, reconstructing, or lengthening bones to restore function or correct deformities. many bone graft substitutes have at least one of the following properties: Osteoconductive – an osteoconductive graft has the ability to provide the framework for new bone growth. What is the ViviGen advantage? ViviGen is different than other biologics on the market, as it is the only cellular allograft that contains lineage-committed bone cells, allowing ViviGen to directly participate in bone formation as early as day 7. Comparison of Graft Preparation and Delivery Performance Between the ViviGen® MIS Graft Delivery System and a Bone Graft Funnel. The utilization of bone graft substitutes, either as (1) an extender for spinal fusion constructs or (2) an alternative to minimize morbidity while maximizing outcomes, is changing. You will need to go to CMS. CPT codes 20900 Bone graft, any donor area; minor or small (e. For clinical responsibility, terminology, tips and additional info start codify free trial. , OP–1™) INFUSE/MASTERGRAFT™ Posterolateral Revision Device Human amniotic membrane bone graft substitute ridge for extraction socket defects as an alternative to bone grafting. lumbar fusions indicate that LifeNet Health's ViviGen® Cellular Bone Matrix was associated with significantly lower hospital costs compared to recombinant human bone morphogenetic protein-2 (rhBMP-2). 10 for regulation What is ViviGen? ViviGen is a cellular allograft intended for repair or reconstruction of musculoskeletal defects. A 2020 guideline from American Association of Orthopaedic Surgeons on the management of glenohumeral joint OA, endorsed by several other societies, states that injectable biologics such as stem cells cannot be recommended in the treatment glenohumeral joint OA. I thought the same about the use of 38220 with an Arthrodesis, this que Abstract. POSSIBLE CODES FOR VIA VIABLE BONE MATRICES The following Codes may be applicable for services involving VIA bone products PAGE 2 Coding Bone Grafts included with the office visit or other services rendered (list drugs, trays, supplies or materials provided) along with an invoice to account for the additional supply cost. This list may not be all inclusive and is not intended to be used for coding/billing purposes. Osteoinductive – an May 27, 2025 · AMA CPT ® Assistant - 2019 Issue 5 (May) Reporting Structural Allograft Procedures (20932-20934) (May 2019) May 2019 pages 7-8 Reporting Structural Allograft Procedures (20932-20934) A new series of add-on codes (20932, 20933, 20934) were established in the Current Procedural Terminology (CPT®) 2019 code set to more accurately describe structural bone allograft procedures. 800-410-8177. Procedure performed: Revision open reduction, internal fixation of left ulnar with DBX (allograft) graft. I bill for the professional/surgeon in this scenerio. I am trying to figure out the best code for this; The physician reported hmerus takedown nonunion, humeral shaft ORIF with allograft. ViviGen derived bone cells proliferate over time. • Bioactive bone graft matrix (synthetic bone grafts) and combination bioactive substitutes Sep 1, 2019 · Professional Statements and Societal Positions Guidelines . ). CPT 23480 describes Osteotomy of the Clavicle with or without Internal Fixation. 7 %âãÏÓ 144 0 obj > endobj xref 144 29 0000000016 00000 n 0000001639 00000 n 0000001769 00000 n 0000002868 00000 n 0000003506 00000 n 0000004096 00000 n 0000004133 00000 n 0000004385 00000 n 0000004499 00000 n 0000004594 00000 n 0000005176 00000 n 0000005818 00000 n 0000006492 00000 n 0000007948 00000 n 0000009296 00000 n 0000010350 00000 n 0000011474 00000 n 0000012707 00000 n At every step of ViviGen’s processing, LifeNet Health has focused on maintaining the highest level of bone cell viability. and growth of ViviGen derived cells. The closest code I found was 24435- Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) but this was performed for a delayed union (by definition, it consolidation of metaphyseal ViviGen Formable bone graft (Figure 3). He also used an allograft (Arthrex demineralized bone matrix) to fill in. 1 ViviGen is being utilized in fusion, non-union, and malunion for foot/ankle, long bone, and craniomaxillofacial trauma and reconstruction in patients 4 days ago · AHA Coding Clinic ® for HCPCS - 2015 Issue 3; ASK THE EDITOR Demineralized bone matrix. 7. Unfortunately, the way CPT is written, 27720 includes Internal Fixation, but is written such that it implies that Compression Fixation Technique (i. The composition of allograft and synthetic bone graft substitutes and their mechanism of action can vary widely. I have no idea where he is going with this one. 20900 or 20902) may be reported. 5 mg/mL In 2002, the US Food and Drug Administration (FDA) approved the use of InFUSE® Bone Graft for anterior interbody fusion as an alternative to the iliac crest bone graft for use in conjunction with lordotic tapered cages (LT-CAGE) lumbar fusion device. Conclusion This case highlights the use of ViviGen Formable as a bone graft to fill a metaphyseal defect in a pilon fracture. For a morselized allograft, select 20930. We would like to show you a description here but the site won’t allow us. • Bioactive bone graft matrix (synthetic bone grafts) and combination bioactive substitutes For instance, there is a huge cyst surrounding the tooth that has compromised the bone structure to an extent that there is a chance that there might be a spontaneous fracture. For cases involving a sliding graft, CPT code 27722 is applicable. 3. Bone graft with microvascular anastomosis Additionally, if the procedure is performed without the use of a graft, CPT code 27720 should be used instead. With small rongeur, curettes Requesting help on coding bone graft for a delayed union fracture rt distal humerus. Can anyone help me with a code for the graft? What is ViviGen? ViviGen is a cellular allograft intended for repair or reconstruction of musculoskeletal defects. I believe C9359 is for the injectable putty & C9362 is for the moldable putty, but what do you use for a structural bone allograft? C1734 Orthopedic/device/drug matrix for opposing bone-to-bone or soft tissue-to bone (implantable) *Add-on CPT Code (must relate to primary procedure) nuvasive. Feb 28, 2019 · For example, when a surgeon performs a subtalar arthrodesis defined by CPT code 28725 (Arthrodesis; subtalar) and harvests a bone graft from the proximal tibia, both 28725 and the bone graft (e. 29, 2020) — ViviGen ® Cellular Bone Matrix — the first cellular allograft to recover and protect viable, lineage-committed bone cells — supports outcomes that are comparable to autograft 1,2 and superior to a conventional mesenchymal stem cell (MSC)-based cellular allograft in even high-risk foot and ankle procedures, according to two recent peer-reviewed PacificSource considers the following bone grafts or materials to be experimental, investigational, or unproven: • INFUSE® Bone Graft for all other indications, including use in cervical fusions and multiple levels for any spinal section. (Dec. What would the appropriate HCPCS code for demineralized bone matrix (DBM) putty be? We have conducted extensive research regarding a code assignment and have found multiple options such as C1713, Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable), C1762, Connective tissue, human May 11, 2021 · • VIA® Graft (Vivex Biologics) • ViviGen® Cellular Bone Matrix and ViviGen® Formable (DePuy Synthes). J&J MedTech Orthopaedics Reimbursement Support Services are available to assist customers with coding and reimbursement questions. Is a separate code assigned to the grafting procedure? AMA Comment The bone graft codes 20900 and 20902 are separately reportable only when the graft material is an autograft and is obtained through a separate incision and not listed as part of the basic procedure. Despite strong evidence supporting the use of autologous iliac crest bone graft, harvesting this autologous bone requires a dedicated surgical incision which subsequently increases operative time and Requesting help on coding bone graft for a delayed union fracture rt distal humerus. CPT code 27724 is used when a surgical procedure is performed to repair a tibial nonunion or malunion with the inclusion of an iliac or other Arthrodesis, wrist joint (including radiocarpal and/or ulnocarpal fusion); with iliac or other autograft (includes obtaining graft) (25810) Intercarpal fusion; without bone graft (25820) Intercarpal fusion; with autograft (includes obtaining graft) (25825) Excision distal ulna, partial or comlete eg, Darrach type or matched resection) (25240) Jan 18, 2019 · When a cpt code, for example 21147 lefort 1, 3pc, states with bone graft, does dbx or dbm (demineralized bone matrix) constitute with bone graft. • The multiple gunshots caused challenging comminuted fractures. I need to know the correct HCPCS code a hospital would use to bill for a structural bone allograft - not morselized, a solid piece of bone. For a morselized autograft, choose 20937. Monday-Friday with the exception of major holidays 9AM - 7PM ET I 24 Hour response [email protected] Bone grafts can be harvested from the patient (autograft), a cadaver (allograft), or they can be synthetic. This procedure is typically indicated for patients who have experienced structural damage to their mandible due to trauma, surgical removal of tumors, or congenital anomalies that have resulted in a thin putty-like consistency, allowing the graft to be shaped and molded. I can't use 28420 because that's an autogenous bone graft. ViviGen is a 361 Human Cells, Tissues, and Cellular and Tissue-based Product (HCT/P) comprised of cryopreserved corticocancellous bone containing endogenous lineage committed bone cells combined with demineralized bone Jul 1, 2023 · Bone marrow aspiration for bone grafting, spine surgery only, through separate skin or fascial incision (List separately in addition to code for primary procedure). CPT 23515, include local bone graft? Hi, I am wondering if CPT 23515,ORIF of midshaft clavicle fracture, non-union, includes local bone graft harvesting. The VIA bone products include VIA Graft®, VIA Graft Moldable®, VIA Form Moldable®, and VIA Form+™. VIA Viable Bone Matrices are derived from bone. These studies showed clinically equivalent fusion rates between the 2 groups, with similar outcomes in terms of back pain, leg pain, disability and neurological status. Osteogenic Nov 18, 2011 · The procedure includes a bone graft with bone obtained from a bone bank. Clinical *Once prepared, the INFUSE® Bone Graft contains rhBMP-2 at a concentration of 1. Hi fellow coders. Dec 18, 2016 · The codes for Open Treatment of a Tibial Nonunion start with 27720 (without bone graft), 27722 (with sliding bone graft), and 27724 (with iliac or other autograft). You also can't bill 20680. Bone graft materials are often combined to extend graft availability and enhance healing. That's just part of the procedure. C1713 20930 Osteocel and Pro/Plus Trinity (OrthoFix), Vivigen C1713 Anchor/screw for opposing CMM-612. Description . 8. e. A common use of bone grafts is in spinal fusion procedures. 300 250 200 150 100 50 0 Alamar Blue RFU (Sample – CC blank) 0 5 10 15 20 25 Donor A – Bone Chips Days PacificSource considers the following bone grafts or materials to be experimental, investigational, or unproven: • INFUSE® Bone Graft for all other indications, including use in cervical fusions and multiple levels for any spinal section. . Nonunion refers to a failure of the bone to heal properly after a fracture, while malunion indicates that the bone has healed but in an incorrect position. CPT® coding has been provided for the following procedural groups: Procedure Codes for Spinal Decompression CPT® Code Description 2020 Total RVUs 2020 Medicare National Average Payment 62380 This addition to the ViviGen portfolio includes a cannula containing the allograft bone material and a delivery dispenser to quickly express the graft material. When To Use CPT 27724. The closest code I found was 24435- Repair of nonun PacificSource considers the following bone grafts or materials to be experimental, investigational, or unproven: • INFUSE® Bone Graft for all other indications, including use in cervical fusions and multiple levels for any spinal section. You will have to report this with the CPT® code, 21215 (Graft, bone; mandible [includes In this procedure the provider treats a nonunion or malunion deformity in a radius or ulna bone of the lower arm by cutting the undeveloped or improperly grown bone and fixing it with the help of a bone graft taken from the patient’s own body. Bone graft, any donor area; minor or small eg, dowel or button) (20900) Bone graft, any donor area; major or large (20902) Insertion vascular pedicle into carpal bone (25430) Bone marrow; aspiration only (38220) Bone marrow transplantation; autologous (38241) Microvascular. A patient with a previous surgical site infection needs a minor bone graft to repair the resulting bony defect. A patient with a non-union fracture receives a small bone graft to encourage healing and bone Apr 15, 2011 · I need some coding help please. I think that the dbx/dbm is a product that the facility will bill for (hcpcs) but does not Nov 24, 2020 · Results of analysis of >16,000 U. lpajkbrbyohytwpanloeaapdxzavdsbpmswhbtpjjhlmznkdqn