2023 NuVasive biologics reimbursement guide

Apr 20, 2023 — References. 1. 2023 Current Procedural Terminology (CPT) Professional Edition. CPT is a registered trademark of the American Medical Association.


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Biologics-reimbursement-guide
2023 NuVasive biologics reimbursement guide
Assisting physicians and facilities in accurate billing for NuVasive implants and instrumentation systems

Healthcare common procedure coding system (HCPCS) and current procedural terminology (CPT®) codes1

HCPCS code CPT code1 Nuvasive Product

Competitive product examples

C1713 C1713 C1734 C1713

20930 20930 20931 20930

Attrax Putty and Scaffold Propel DBM Fiber, Sponge, Gel/Plus, Putty/Plus Triad Allograft Osteocel and Pro/Plus

Vitoss (Stryker), Mastergraft (Medtronic)
Grafton (Medtronic), DBX (DePuy Synthes), Accell (SeaSpine) VertiGRAFT (LifeNet Health), Vikos (Stryker), OsteoStim (Zimmer Biomet)
Trinity (OrthoFix), Vivigen (DePuy Synthes)

C1713

20930

Demineralized cancellous chips/freeze dried, cancellous chips/freeze dried/frozen, cancellous crushed freeze dried/frozen, cortical cancellous chips freeze dried/frozen

(Ace Surgical), (MTF Biologics), (Origen Biologics)

HCPCS code descriptors

HCPCS code Description

C1713 C1734

Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) Orthopedic/device/drug matrix for opposing bone-to-bone or soft tissue-to bone (implantable)

CPT code descriptors, RVUs, and Medicare payment rates

CPT code1
20930 20931 20936 20937 20938

Descriptor
Allograft, morselized, or placement of osteo-promotive material Allograft, structural Autograft, local Autograft, morselized Autograft, structural

Billing rule
Bundled Per session Bundled Per session Per session

*Add-on CPT Code (must relate to primary procedure)

RVUs2
0 3.29 0 4.97 5.44

2023 Medicare national average payment3 $0
$111 $0 $168 $184

References 1. 2023 Current Procedural Terminology (CPT) Professional Edition. CPT is a registered trademark of the American Medical Association. All rights reserved. 2. Medicare Physician Fee Schedule Final Rule CY2022. Conversion factor $33.8872 3. Medicare Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and Long-Term Care Hospital Prospective Payment System and
Policy Changes and Fiscal Year 2023 Rates.

For important product safety information, visit nuvasive.com/eIFU Contact us at nuvasive.com/Contact
©2023. NuVasive, Inc. or one of its subsidiaries. All rights reserved. CPT is a registered trademark of the American Medical Association. 9514133 B

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References

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