Wiki Orthopaedic Stem Cell Injections

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DOTHAN, AL
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DX: Right knee delayed union/nonunion of the tibia tubercle transfer.
PX: Stem cell injection right tibial tubercle

A trocar was placed into the medial femoral condyle through a stab wound and 60ml of bone marrow was aspirated. This bone marrow was spun to 6 ml of stem cells. Under C-arm control 3 ml of stem cells were injected into the medial side and 3 ml of stem cells were injected in the lateral side of the tiba tubercle transfer.

I am having trouble coding this procedure any help welcome. I am looking at code 38232, but I am not sure about this.

Thank you.
 
Stem cell

You may use the following codes for stem cell therapy.
38206 Blood-derived hematopoietic progenitor cell harvesting for transplantation per collection, autologous
38220 Bone marrow; aspiration only
38221 Bone marrow; biopsy, needle or trocar
38230 Bone marrow harvesting for transplantation; allogeneic
38232 Bone marrow harvesting for transplantation; autologous
38241 Bone marrow or blood-derived peripheral stem cell transplantation; autologous
 
Stem cell therapy

I have a follow up question on this. We provide Stem Cell Therapy as a cash and carry item for our patients. The question has come up if we can do the this during a surgical procedure. So for example, the patient may be having a surgical knee procedure and the doctor would like to do Stem Cell Therapy to aid in faster healing & pain control. They are wondering if the can bill for the aspiration and the kit but NOT the injection. I keep going back and forth on an answer as the aspiration would be from a different site so they could BUT then again it is still ultimately for that same site so we could not. Any thoughts?
 
Stem cell therapy

I have a follow up question on this. We provide Stem Cell Therapy as a cash and carry item for our patients. The question has come up if we can do the this during a surgical procedure. So for example, the patient may be having a surgical knee procedure and the doctor would like to do Stem Cell Therapy to aid in faster healing & pain control. They are wondering if the can bill for the aspiration and the kit but NOT the injection. I keep going back and forth on an answer as the aspiration would be from a different site so they could BUT then again it is still ultimately for that same site so we could not. Any thoughts?
I'd be interested in this info as well.
 
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