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Joined: 3/31/2014(UTC)
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what cpt codes are used when billing PRP?
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Rank: Administration
Joined: 11/21/2012(UTC)
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Hi 8701CAMINO! Great question. We found the following resource on the AAOS FAQ's: http://www.aaos.org/news/aaosnow/jul12/managing1.asp A: The appropriate CPT code to report the PRP injection in the office setting is the Category III code, 0232T —Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed. Assuming the documentation supports the work associated with this code, 0232T should be reported to the insurance company and is also the correct code to report the service if the patient is self pay. Do not separately report the injection code, the blood draw, the image guidance, or a code for the work associated with the spinning of the plasma. All work associated with this procedure in the office is inclusive to 0232T. Hope this information is helpful, please feel free to contact us with any further questions!
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Rank: Guest
Joined: 9/8/2012(UTC)
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Does any insurance company reimburse for PRP yet?
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Rank: Advanced Member
Joined: 7/22/2014(UTC)
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Hi Guest!
We have not seen reimbursement for PRP. Many insurers still consider it experimental and investigational.
Hope this helps!
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