Wiki PRP INJECTIONS

cwilson3333

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Patient have Debridement and Repair of Achilles Tendon, outpatient surgery
Will also have PRP injection

I don't think the insurances pay for PRP, but can I charge for the Physician Injection [20605] during the main surgical procedure.
In-house, the patient is charged for the PRP kit and procedure.

Thanks
 
PRP- 0232T - Provider is questioning why such a low reimbursement as "all components are included" = time and prep, blood draw with supplies (supply tubes are expensive), harvesting, guidance, and injection. Local MAC FCSO FL 99 allowed is $215.58 single unit. Billing: Multiple joints on same date of services for example hip, shoulder, knee billed 0232t x 3 units or separate line items per single unit and applicable DX? Modifiers RT/LT/50 are not applicable. Vendors have not been forthcoming with billing information. I am wondiering if any other providers have concerns about the very low payer payment rates. All feedback welcomed! thanx!
 
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