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New code CPT 0232T (injection(s) platelet-rich plasma, any tissue, including image guidance, harvesting and preparation) went into effect July 1. This code is billable if it is the only procedure being performed or it is performed at different site than the surgical site. Instillation of the platelets by the surgeon into the surgical site is considered part of the total procedure and therefore this code is not applicable.
However, if a PRP injection is being done at the same surgical area, CPT 86999 (unlisted transfusion medicine procedure) can be billed when the blood draw and centrifuge is done by center staff and not an outside company or representative.
Learn more about Serbin Surgery Center Billing.
The information provided should be utilized for educational purposes only. Please consult with your billing and coding expert. Facilities are ultimately responsible for verifying the reporting policies of individual commercial and MAC/FI carriers prior to claim submissions.
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