Diana2032
Networker
Good afternoon,
I was wondering if any one can help me, my provider (a children's orthopedist) harvested bone marrow aspirate concentrate from the iliac crest and injected the material to the femur area lacking regenerate. She is coding for the aspiration with CPT 38220 and the unlisted CPT 27599 (femur) for the injection. I've done some research and CPT code 38220 should only be coded for the purpose of bone grafting and for bone marrow aspiration for platelet rich stem cell injection use 0232T. The only problem I'm having with 0232T is the fact that the description reads "Injection, platelet rich plasma, any site, including image guidance, harvesting and preparation when performed". Although, the provider did use image guidance I'm not so sure with the fact that the description of CPT code 0232T reads "platelet plasma" and what the provider is injecting is "bone marrow aspirate". I do know bone marrow produces blood cells however, I don't think we could use the terms "bone marrow" and "platelet rich plasma" interchangeably for the purpose of CPT code assignment. I'm also aware that this procedure is considered experimental. Any type of guidance would be kindly appreciated.
Thank you.
I was wondering if any one can help me, my provider (a children's orthopedist) harvested bone marrow aspirate concentrate from the iliac crest and injected the material to the femur area lacking regenerate. She is coding for the aspiration with CPT 38220 and the unlisted CPT 27599 (femur) for the injection. I've done some research and CPT code 38220 should only be coded for the purpose of bone grafting and for bone marrow aspiration for platelet rich stem cell injection use 0232T. The only problem I'm having with 0232T is the fact that the description reads "Injection, platelet rich plasma, any site, including image guidance, harvesting and preparation when performed". Although, the provider did use image guidance I'm not so sure with the fact that the description of CPT code 0232T reads "platelet plasma" and what the provider is injecting is "bone marrow aspirate". I do know bone marrow produces blood cells however, I don't think we could use the terms "bone marrow" and "platelet rich plasma" interchangeably for the purpose of CPT code assignment. I'm also aware that this procedure is considered experimental. Any type of guidance would be kindly appreciated.
Thank you.
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