Wiki 0232T PRP clarification on site

[Jody Mortensen]

The CPT description for 0232T (Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed). If a provider injects PRP into the AC joint/the GH joint & the biceps tendon at the shoulder would this be coded as 0232T for each separate structure injected, the 2 joints & the biceps tendon, 0232T x 3, or would it be coded as 0232T for the same anatomic area, the shoulder? I'm confused on what constitutes a site & would appreciate any direction, references you have for clarification. Thank you kindly

 

[NRaizman]

Isn't the MUE 1?
Would assume you can only bill once even if you split the aspirate between multiple sites.

 

[amyjph]

We would not code it more than once. If they are performing it during surgery it is generally not coded separately/included. Unless something has changed recently with that. There was an old CPT Assistant about it. I have not checked lately.
Most carriers other than maybe WC would not cover this as they find it "unproven and not medically necessary".
Example: https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdId=39068&ver=21
Example references to PRP for ortho applications: https://www.kzanow.com/coding-coaches/platelet-rich-plasma-prp-injections

MUE table:

HCPCS/ CPT Code	Practitioner Services MUE Values	MUE Adjudication Indicator	MUE Rationale
0232T	1	3 Date of Service Edit: Clinical	Nature of Service/Procedure