Wiki PRP injection w/tenotomy - separately reportable?

[renbar0210]

Good Morning,

Does anyone know if a PRP injection can be coded separately from a tenotomy? If so, do you have any sources on this? I found a CPT Assistant article from May of 2012 which states that PRP can be coded separately with a tibial fracture nonunion repair, however I also found article from AAOS Now (August 2010) that states that the code is "to be used only when PRP is performed in a complete separate patient encounter from a surgical procedure". Any feedback would be appreciated.

Thank you!!

 

[meghanhannus]

Hello renbar0210,

If 0232T is billed in addition to the tenotomy it is usually not paid by insurance as it is considered non-covered. Please see the following UHC and MCR links for more info https://www.uhcprovider.com/content...t-derived-growth-factors-treatment-wounds.pdf ; http://cms.gov/medicare-coverage-da...r=5&DocID=270.3&kq=true&bc=gAAAAAgAAAAAAA==&; http://cms.gov/medicare-coverage-database/overview-and-quick-search.aspx.

Hope this helps~

 

[renbar0210]

Thank you so much!

Renee

 

[meghanhannus]

Thank you so much!

Renee

You're welcome