How To Use CPT Code 0232T

CPT 0232T describes the injection of platelet rich plasma (PRP) into the site of injury under imaging guidance. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0232T?

CPT 0232T can be used to describe the injection of platelet rich plasma (PRP) into the site of injury under imaging guidance. This procedure is performed to treat sports injuries and stimulate faster bone repair or healing after various surgeries.

2. Official Description

The official description of CPT code 0232T is: ‘Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed.’

3. Procedure

1. The provider withdraws venous blood from the patient’s arm in the elbow using a sterile needle.
2. The blood is collected in a container layered with an anticoagulant and centrifuged at high speed.
3. The centrifugation separates the blood into platelet rich plasma, platelet poor plasma, and red blood cells.
4. The provider collects the platelet rich plasma and injects it into the injured site under imaging guidance, usually ultrasound.
5. The entire procedure must be performed under aseptic conditions to prevent contamination.

4. Qualifying circumstances

Patients eligible to receive CPT 0232T are those who require the injection of platelet rich plasma (PRP) to treat their sports injuries or to promote faster bone repair or healing after surgeries. The procedure must be performed by a qualified healthcare provider and under imaging guidance. It is important to note that CPT 0232T should not be reported in conjunction with certain other codes, such as 15769, 15771, 15772, 15773, 15774, 20550, 20551, 20600, 20604, 20605, 20606, 20610, 20611, 36415, 36592, 76942, 77002, 77012, 77021, 86965, or 0481T.

5. When to use CPT code 0232T

CPT code 0232T should be used when the provider performs the injection of platelet rich plasma (PRP) into the site of injury under imaging guidance. It is important to follow the guidelines and not report CPT 0232T with certain other codes as mentioned in the qualifying circumstances section.

6. Documentation requirements

To support a claim for CPT 0232T, the provider must document the following information:

• Patient’s diagnosis and the need for the injection of platelet rich plasma (PRP)
• Details of the imaging guidance used during the procedure
• Date and time of the procedure
• Site of injury where the injection was performed
• Any additional procedures performed, such as harvesting and preparation of the platelet rich plasma (PRP)
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 0232T, ensure that the injection of platelet rich plasma (PRP) is performed under imaging guidance and that the documentation requirements are met. It is important to avoid reporting CPT 0232T with certain other codes, as mentioned in the qualifying circumstances section. Pay attention to any additional guidelines provided by the payer or coding guidelines.

8. Historical information

CPT 0232T was added to the Current Procedural Terminology system on January 1, 2011. There have been no updates to the code since its addition.

9. Examples

1. A provider injecting platelet rich plasma (PRP) into the knee joint under ultrasound guidance to treat a sports injury.
2. A provider performing an injection of platelet rich plasma (PRP) into the site of a fracture under imaging guidance to promote faster bone healing.
3. A provider injecting platelet rich plasma (PRP) into a tendon tear under ultrasound guidance to aid in the healing process.
4. A provider performing an injection of platelet rich plasma (PRP) into a surgical site after a bone graft procedure to enhance the healing process.
5. A provider injecting platelet rich plasma (PRP) into a muscle tear under imaging guidance to facilitate faster recovery.
6. A provider performing an injection of platelet rich plasma (PRP) into a ligament injury under ultrasound guidance to promote healing and reduce pain.
7. A provider injecting platelet rich plasma (PRP) into a tendonitis site under imaging guidance to alleviate symptoms and promote healing.
8. A provider performing an injection of platelet rich plasma (PRP) into a joint after arthroscopic surgery to enhance the healing process.
9. A provider injecting platelet rich plasma (PRP) into a non-healing wound under ultrasound guidance to promote tissue regeneration.
10. A provider performing an injection of platelet rich plasma (PRP) into a bone defect under imaging guidance to stimulate bone regeneration.