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Neurosurgery Coding Alert

On the Cutting Edge:

Hold Off Reporting 86999 for Every PRP Injection

Published on Wed Jun 24, 2009

Don't miss reporting blood platelets placement in this situation. Scouring your CPT book for a way to report platelet rich plasma (PRP) injections? You're creating an unnecessary headache for yourself. Most likely, you should consider PRP injections as inherent to the surgical procedure. That's not what most coders and physicians want to hear. "This is currently a great challenge for our physicians who are performing this procedure withexcellent outcomes -- yet they are being told they should not be paid for it," laments Gloria Caballero, director of finance at a private practice in Warrenville, Ill. But take heart: In one situation, you might be able to get away with an unlisted-procedure code to reflect the additional work. To minimize denials and save precious time, discover what PRP involves, what you should report, and what codes you should avoid. What Is PRP? In the past several years, PRP has taken off in [...]
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