What is the CPT code for a PRP injection?

CPT 0232T
If the service performed is PRP Injection, then CPT 0232T appears to be the most specific code for that service. CPT code 0232T states: “Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when peformed (see page 637 of the 2014 CPT Codebook, Professional Edition).

What is CPT 0232T?

For all other uses of PRP, the CPT code 0232T should be billed. It describes the injection of PRP into a targeted site. The code’s definition includes the harvesting, preparation, and image guidance for the service.

Does Medicare pay for CPT 0232T?

“0232T—Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed (Do not report 0232T in conjunction with 20550, 20551, 20600-20610, 20926, 76942, 77002, 77012, 77021, 86965.)” We use 0232T and Medicare does not pay.

What is the CPT code 20610?

Group 1

Code	Description
20610	ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, MAJOR JOINT OR BURSA (EG, SHOULDER, HIP, KNEE, SUBACROMIAL BURSA); WITHOUT ULTRASOUND GUIDANCE

How do you bill for platelet-rich plasma injection?

When PRP is used in this setting HCPCS code G0460 should be used and billed with CMS approved ICD-10 diagnosis codes maintained by the Medicare contractor. For all other uses of PRP, the CPT code 0232T should be billed. It describes the injection of PRP into a targeted site.

Is platelet-rich plasma injection covered by Medicare?

Due to changes in legislation, PRP Injections no longer attract a Medicare rebate.

Does Medicare pay for plasma injections?

Platelet-Rich Plasma Injection is not covered under Medicare.

What is procedure code 67228?

Code. Description. 67228. TREATMENT OF EXTENSIVE OR PROGRESSIVE RETINOPATHY (EG, DIABETIC RETINOPATHY), PHOTOCOAGULATION.