1. Diane Eastman
   Posted 7 months ago #
   

   I used a 0232T code for a workers comp patient. Doctor performed a autologous blood injection in the ecrb tendon with a 726.32 dx. The work comp insurance denied for invalid code. Can you tell me what code I should be billing? Thank you.

2. SuperCoder
   Posted 7 months ago #
   

   Answer:20550.
   *
   0232T (injection[s], platelet rich plasma, any tissue, including image guidance, harvesting and preparation when performed).
   In a parenthetical note issued with the new code, CPT instructs you not to report 0232T with any of the following:
   tendon and tendon sheath injection (20550-20551);
   tissue graft (20926);
   imaging (76942, 77002, 77012, 77021); and
   pooling of platelets or other blood products (86965).

3. Mary Lehman
   Posted 3 months ago #
   

   We have been billing for PRP injections for the last few months. I have done extensive research on this and found we should only be billing 0232T. From what I understand, it is not appropriate to bill 20550 because there is a more specific code which includes the 20550 (0232T).
   Sanjit, will you please elaborate on this? I would like to see where you have gotten this information.
   Thanks!

4. SuperCoder
   Posted 3 months ago #
   

   As I have told earlier, plz look at the notes below the code 0232T.
   This tells you:
   DO NOT REPORT 0232T with any of the following:
   1)tendon and tendon sheath injection (20550-20551);
   2)tissue graft (20926);
   3)imaging (76942, 77002, 77012, 77021); and
   4)pooling of platelets or other blood products (86965).
   *
   *
   You have mentioned "injection in the ecrb tendon".
   So, based on above notes, the applicable range of codes applicable (20550-20551) a per last rule#1 and you can't report 0232T as per notes in the CPT book of AMA.

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