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prp injections

  1. Default prp injections
    Medical Coding Books
    Hi or should I say Help Please:

    I am hoping that I can get some answers here regarding the correct coding for PRP injections. The issue that I am running into are denials because using the unlisted procedure code of 86999 is not fee scheduled or on the ASC. According, to medicare you should use 0232T. I have also come across that 36513 is being accepted in NY and Oregon would this work in New Jersey? Is there a better code for these injections that are fee scheduled? any insight to this issue would be greatly appreciated.
    Thank you

  2. #2
    Hi, the correct code is 0232T. Currently, the only provider authorizing this procedure is Medicare. I work for an orthopaedic practice and we have tried numerous time to get this procedure authorized. Our physicians have stopped scheduling the procedure due to nonapproval.

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