10/01/2020 Title change to reflect the expanded coverage: Billing and Coding: Percutaneous Vertebral Augmentation (PVA) for Vertebral Compression Fracture (VCF), removed “Osteoporotic”. Removed outdated NCD language from CMS National Coverage Policy. Reformatted Coding Guidelines and Documentation Requirements. Updated CPT/HCPCS Modifier Group 1 codes to include Modifiers 59 and XS. ICD-10 Codes that Support Medical Necessity modified to include Group 1 Paragraph: Osteoporotic Vertebral Fractures and Group 1 Codes: M80.08XA, M80.08XS, M80.88XA, and M80.88XS. Includes Group 2 Paragraph: Malignant Fractures and Group 2 Codes: C41.2*, C79.51*, C79.52*, C90.00*, C90.01*, C90.02*, C96.5, C96.6, C96.A, D16.6, D47.1, E24.0, E24.1, E24.2, E24.3, E24.4, E24.8, E24.9, M81.6, T38.0X5A, T38.0X5D, and T38.0X5S. Includes Group 3 Paragraph: *AND one of the following codes and Group 3 Codes: M84.58XA, M84.58XD, M84.58XG, M84.58XK, M84.58XP, and M84.58XS. Includes Group 4 Paragraph: Trauma Vertebral Fractures and Group 4 codes: M48.33, M48.34, M48.35,M48.36, M48.37, S12.690A, S12.691A, S22.010A, S22.011A, S22.012A, S22.018A, S22.020A, S22.021A, S22.022A, S22.028A, S22.030A, S22.031A, S22.032A, S22.038A, S22.040A, S22.041A, S22.042A, S22.048A, S22.050A, S22.051A, S22.052A, S22.058A, S22.060A, S22.061A, S22.062A, S22.068A, S22.070A, S22.071A, S22.072A, S22.078A, S22.080A, S22.081A, S22.082A, S22.088A, S32.010A, S32.011A, S32.012A, S32.018A, S32.020A, S32.021A, S32.022A, S32.028A, S32.030A, S32.031A, S32.032A, S32.038A, S32.040A, S32.041A, S32.042A, S32.048A, S32.050A, S32.051A, S32.052A, and S32.058A. Review completed 08/31/2020.