Below is part of the article that's posted on Margie's website
My question was:
"PLATELET RICH plasma injections performed in the office for patients with muscle tears, meniscus tears, tendonitis and possibly other conditions and the only thing done, how should these be coded? Manufacturers are stating 20926 with 20550-20552 or 20610, and with 36513 or 36514 or 38230, and venipuncture, and with 86499 or 86940.
Reply:
...from a CPT coding perspective, whether performed in conjunction with a definitive surgical procedure or injected as indicated in your inquiry, there is no specific CPT code to describe PLATELET RICH plasma injection from the patient's blood, having been drawn and centrifuged, and injected into the anatomic site involved.
It would not be appropriate to report codes 20926, 20552, 20610 or codes 36513 or 36514 or 38230 to describe PLATELET RICH plasma injection from the patient's blood, having been drawn and centrifuged, and injected into the anatomic site involved. It is not appropriate to report code 86985 Splitting of blood or blood products, each unit to describe the derivation of the PLATELETs. Therefore, it is not appropriate to report code 86940.
According to the CPT Advisors representing the College of American Pathologists and the American Society for Clinical Pathology, code 86999 Unlisted transfusion medicine procedure, should be reported when for example, intraoperatively, 60 ccs of blood is drawn from the patient, centrifuged for 15 minutes to separate the PLATELET RICH [fibrin] from PLATELET poor plasma and red cells and injected into the operative site. "
In fact CPT and ICD-9 Coding Clinic have both stated that when performed during a surgical procedure there is NO additional professional service to report. However sales reps are giving these codes out inappropriately. Blood is not a (20926) paratendon, is not fat, is not dermis and is not a tissue graft - it is blood.