Super Posted Wed 05th of October, 2011 18:42:40 PM
I have a pediatric patient who is schedule for a procedure I'm unsure how to code. This procedure will be performed inpatient. The patient will be receiving a " Donor Cellular Infusion" however it is not considered a DLI (Donor Lymphocyte Infusion) CPT 38242 because Lymphocyte are not involved, it cannot be considered a Stem Cell Transplant CPT 38240 because there will be no preparative regiment, this is basically a Cellular Reinfusion.
Do I use the Stem Cell Transplant code with Modifier 52 (reduced services) or is there a more accurate code?
SuperCoder Answered Thu 06th of October, 2011 13:03:56 PM
You are right in considering 38240-52, as it is really not clear what kind of Donor cellular infusion, nor there is any unlisted code to support non-specific procedure.