Advanced Search

Orthopedic Coding Alert

On the Cutting Edge:

Pull the Plug on PRP Denials by Limiting When You Pick 86999 for PRP Injections

Published on Sat Jul 04, 2009

Dont miss reporting blood platelets placement in this situation. If your orthopedist is performing platelet rich plasma (PRP) injections with surgical reconstructions and youre looking for a way to report this, you may be making your life more difficult than it should be. Most likely, you should consider this inherent to the surgical procedure. Thats not what most coders and physicians want to hear. This is currently a great challenge for our physicians who are performing this procedure with excellent outcomes -- yet they are being told they should not be paid for it, laments Gloria Caballero, director of finance at OED Orthopaedics 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 [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Orthopedic Coding Alert

View All