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Thread: Bone marrow aspirate injections

  1. #1
    Join Date
    Apr 2007
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    Default Bone marrow aspirate injections

    Promo: Code Books
    Does anyone get payment for this?

  2. #2

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    Paid or not ,no idea. But this much I know:
    Injection of Autologous Bone Marrow Mononuclear Cells for Ischemic Cardiomyopathy endstage cardiomyopathy, may produce a durable therapeutic effect and improve myocardial perfusion and exercise capacity.
    injection of bone marrow (Stem Cells) in stem cell therapy into cartilage for cartilage repair, as prolotherapy for Arthritis knee, Osteo Arthritis of joints of the body have been brought into recent practices. So,
    Experimental/investigational/unproven/not covered for any indication , may be reported with 0232T I think !! Any other suggestion or validation?

  3. #3

    Default

    Also have a look at this:

    Clips from Aetna Clinical Policy Bulletin:
    Bone and Tendon Graft Substitutes and Adjuncts

    Number: 0411

    1. Mesenchymal Stem Cell Therapy/Bone Marrow Aspirate:
    Aetna considers the use of mesenchymal stem cell therapy for spinal fusion and other orthopedic indications (e.g., long bone nonunions) experimental and investigational because there is insufficient evidence to support its use, especially its safety and long-term outcomes.
    Aetna considers the use of bone marrow aspirate experimental and investigational for nonunion fracture and as an adjunct to spinal fusion.

    Mesenchymal Stem Cell Therapy/Bone Marrow Aspirate:CPT codes not covered for indications listed in the CPB:
    38220
    38240 - 38241
    Other CPT codes related to the CPB:
    22548 - 22819
    HCPCS codes not covered for indications listed in the CPB:
    S2142 Cord blood-derived stem-cell transplantation, allogeneic
    S2150 Bone marrow or blood-derived stem cells (peripheral or umbilical), allogeneic or autologous, harvesting, transplantation, and related complications; including: pheresis and cell preparation/storage; marrow ablative therapy; drugs, supplies, hospitalization with outpatient follow-up; medical/surgical, diagnostic, emergency, and rehabilitative services; and the number of days of pre- and post-transplant care in the global definition
    ICD-9 codes not covered for indications listed in the CPB:
    733.81 Malunion of fractures
    733.82 Nonunion of fracture
    V45.4 Arthrodesis status

    The above policy is based on the following references: Bone graft substitute.

  4. #4
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    Default CPT code please?

    Quote Originally Posted by arme2783 View Post
    Does anyone get payment for this?
    What CPT code are you using?
    Roxanne Thames CPC, CPC-I, CEMC
    rthamescpci@gmail.com


    "Remember the greatest gift is not found in the store but in the heart of true friends"

  5. #5
    Join Date
    Apr 2007
    Location
    Atlanta
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    Default

    Quote Originally Posted by rthames052006 View Post
    What CPT code are you using?
    Did not bill it yet. Just wanted to see what others use.

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