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Category 1 CPT Code for Barricaid Annulus Closure | Orthopedics This Week

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Regulatory and Reimbursement</a> </div> <div class="post__header"> <h1 class="post__title">Category 1 CPT Code for Barricaid Annulus Closure</h1> <div class="post__meta"> <span class="post__author">Kim DelMonico</span> <span> • </span> <span class="post__date">Thu, November 21st, 2024</span> </div> <div class="pos-rel"> <img width="850" height="425" alt="" decoding="async" fetchpriority="high" data-srcset="https://ryortho.com/wp-content/uploads/2024/11/Category_Barricaid_WEB.jpg 850w, https://ryortho.com/wp-content/uploads/2024/11/Category_Barricaid_WEB-300x150.jpg 300w, https://ryortho.com/wp-content/uploads/2024/11/Category_Barricaid_WEB-768x384.jpg 768w" sizes="(max-width: 850px) 100vw, 850px" data-src="https://ryortho.com/wp-content/uploads/2024/11/Category_Barricaid_WEB.jpg" class="attachment-post-thumbnail size-post-thumbnail wp-post-image lazyload" src="data:image/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==" /><noscript><img width="850" height="425" src="https://ryortho.com/wp-content/uploads/2024/11/Category_Barricaid_WEB.jpg" class="attachment-post-thumbnail size-post-thumbnail wp-post-image" alt="" decoding="async" fetchpriority="high" srcset="https://ryortho.com/wp-content/uploads/2024/11/Category_Barricaid_WEB.jpg 850w, https://ryortho.com/wp-content/uploads/2024/11/Category_Barricaid_WEB-300x150.jpg 300w, https://ryortho.com/wp-content/uploads/2024/11/Category_Barricaid_WEB-768x384.jpg 768w" sizes="(max-width: 850px) 100vw, 850px" /></noscript> <span class="image-sourse"> New Category 1 CPT Code Effective January 2026 / Source: Intrinsic Therapeutics, Inc. </span> <!-- /.image-sourse --> </div> <!-- /.pos-rel --> </div><!-- .entry-header --> <div class="post__content"> <p>The American Medical Association (AMA) CPT Editorial Panel has accepted the addition of a new Category 1 CPT Code for bone anchored annular closure. This is significant news for patients, surgeons, clinics, and hospitals.</p> <p>The new Category 1 CPT Code sets the stage for reimbursement for the Barricaid<sup>®</sup> Annular Closure Device. It is the first CPT Code, according to the company, to “describe closing large annular defects using the Barricaid device.”</p> <p>The new CPT code will go into effect on or after January 1, 2026. The addition of this CPT Code is a significant milestone for Barricaid since it puts in place a reimbursement for the leading annular closure device.</p> <p>Intrinsic Therapeutics, Inc., the Woburn, Massachusetts developer and manufacturer of Barricaid, explained that the device “prevents reherniation and reoperation in patients with large annular defects following lumbar discectomy surgery.”</p> <p>The AMA Board of Trustees has authorized the CPT Editorial Panel to, “revise, update, or modify CPT codes, descriptors, rules and guidelines.” The CPT Editorial Panel’s primary responsibility is the maintenance of the CPT code set. A proposal for a new or revised Category I code must meet specific criteria.</p> <p>Serena Hu, M.D. is a board-certified, fellowship-trained orthopedic spine surgeon and chief, orthopedic spine service, department of orthopedic surgery at Stanford. Dr. Hu commented, “A new Category 1 CPT code represents a significant milestone for any new technology. Category 1 codes are intended to describe procedures that demonstrate high levels of clinical evidence and efficacy. Most importantly, this distinction demonstrates that Barricaid has met the rigorous criteria the AMA sets forth, including robust clinical data and widespread adoption by physicians, further substantiating the medical necessity of this critical therapeutic alternative.”</p> <p>Dr. Hu continued, “For physicians, achievement of a CPT code not only offers a pathway to reimbursement, but also is a strong indicator of clinical acceptance and a new standard of care within the surgical community.”</p> <div id='jp-relatedposts' class='jp-relatedposts' > </div><div class='heateor_sss_sharing_container heateor_sss_vertical_sharing heateor_sss_bottom_sharing' style='width:74px;left: -10px;top: 100px;-webkit-box-shadow:none;box-shadow:none;' data-heateor-sss-href='https://ryortho.com/2024/11/category-1-cpt-code-for-barricaid-annulus-closure/'><div class="heateor_sss_sharing_ul"><a style="font-size:32px!important;box-shadow: none;display: inline-block!important;font-size: 16px;padding: 0 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