How To Use CPT Code 0707T

CPT 0707T describes the injection of bone-substitute material into a subchondral bone defect, including imaging guidance and arthroscopic assistance for joint visualization. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0707T?

CPT 0707T can be used to describe the procedure in which a provider injects bone-substitute material into a subchondral bone defect. This code includes imaging guidance and arthroscopic assistance for joint visualization. It is important to note that CPT 0707T should not be reported in conjunction with codes 29805, 29860, 29870, or 77002. For aspiration and injection of bone cysts, code 20615 should be used instead.

2. Official Description

The official description of CPT code 0707T is: ‘Injection(s), bone-substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion, bone bruise, stress injury, microtrabecular fracture), including imaging guidance and arthroscopic assistance for joint visualization.’

3. Procedure

1. The provider begins by appropriately prepping and anesthetizing the patient.
2. Using imaging guidance, an arthroscope, or both, the provider visualizes the joint that will be treated for a subchondral bone defect.
3. With the guidance of imaging, the provider inserts a needle and injects the bone-substitute material, such as calcium phosphate, into the defect.
4. The procedure may involve one or more injections, depending on the specific needs of the patient.
5. After completing the injections, the provider removes the instruments, stops any bleeding, and finishes the procedure.

4. Qualifying circumstances

CPT 0707T is used for patients who have a subchondral bone defect, which can include bone marrow lesions, bone bruises, microtrabecular fractures, or stress injuries. The procedure is performed with the assistance of imaging guidance and arthroscopy for joint visualization. It is important to note that this code should not be reported with certain other codes, such as 29805, 29860, 29870, or 77002.

5. When to use CPT code 0707T

CPT code 0707T should be used when a provider performs the injection of bone-substitute material into a subchondral bone defect, utilizing imaging guidance and arthroscopic assistance for joint visualization. It is important to follow the coding guidelines and not report this code in conjunction with other specific codes.

6. Documentation requirements

To support a claim for CPT code 0707T, the provider must document the following information:

• Patient’s diagnosis indicating the presence of a subchondral bone defect
• Details of the bone-substitute material used, such as calcium phosphate
• Date of the procedure
• Start and end times of the procedure
• Imaging guidance and arthroscopic assistance utilized
• Number of injections performed, if applicable
• Any additional relevant information or complications
• Provider’s signature

7. Billing guidelines

When billing for CPT code 0707T, ensure that the procedure meets the criteria outlined in the code description. It is important to follow the coding guidelines and not report this code in conjunction with specific other codes. Additionally, consider any specific billing guidelines provided by payers or insurance companies to ensure accurate reimbursement.

8. Historical information

CPT code 0707T was added to the Current Procedural Terminology system on January 1, 2022. As of now, there have been no updates or changes to this code since its addition.

9. Examples

1. A provider injects bone-substitute material into a subchondral bone defect in a patient with a bone marrow lesion, utilizing imaging guidance and arthroscopic assistance for joint visualization.
2. Using imaging guidance and arthroscopy, a provider performs injections of bone-substitute material into a patient’s bone bruise.
3. A provider utilizes imaging guidance and arthroscopic assistance to inject bone-substitute material into a microtrabecular fracture in a patient’s joint.
4. With the assistance of imaging and arthroscopy, a provider performs injections of bone-substitute material into a patient’s stress injury.
5. A provider injects bone-substitute material into a subchondral bone defect in a patient’s joint, utilizing imaging guidance and arthroscopic assistance for visualization.
6. Using imaging guidance and arthroscopy, a provider performs injections of bone-substitute material into a patient’s bone bruise.
7. A provider utilizes imaging guidance and arthroscopic assistance to inject bone-substitute material into a microtrabecular fracture in a patient’s joint.
8. With the assistance of imaging and arthroscopy, a provider performs injections of bone-substitute material into a patient’s stress injury.
9. A provider injects bone-substitute material into a subchondral bone defect in a patient’s joint, utilizing imaging guidance and arthroscopic assistance for visualization.
10. Using imaging guidance and arthroscopy, a provider performs injections of bone-substitute material into a patient’s bone bruise.