How To Use CPT Code 0737T

CPT 0737T describes the procedure of xenograft implantation into the articular surface of a joint. This article will cover the official description, procedure details, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples of CPT code 0737T.

1. What is CPT Code 0737T?

CPT 0737T can be used to describe the surgical procedure in which a tissue graft from a nonhuman species is implanted into the surface of a joint. This code is used when the provider accesses the target joint, prepares the articular surface, and performs the xenograft implantation. It is important to note that CPT 0737T should not be reported in conjunction with codes 27415 and 27416.

2. Official Description

The official description of CPT code 0737T is: ‘The provider implants a tissue graft from a nonhuman species into the surface of a joint.’

3. Procedure

1. When the patient is appropriately prepped and anesthetized, the provider accesses the target joint.
2. The provider prepares the articular (joint) surface to ensure proper graft placement.
3. The provider performs the xenograft implantation by carefully placing the tissue graft from a nonhuman species onto the surface of the joint.
4. After the implantation, the provider removes any instruments used and closes the incisions.

4. Qualifying circumstances

CPT code 0737T is used for patients who require a xenograft implantation into the articular surface of a joint. This procedure is typically performed to address specific conditions or injuries that affect the joint. It is important to note that CPT 0737T should not be reported in conjunction with codes 27415 and 27416.

5. When to use CPT code 0737T

CPT code 0737T should be used when the provider performs a xenograft implantation into the articular surface of a joint. It is important to ensure that the procedure meets the specific requirements outlined in the official description. Additionally, it is crucial to avoid reporting CPT 0737T in conjunction with codes 27415 and 27416.

6. Documentation requirements

To support a claim for CPT code 0737T, the provider must document the following information:

• Patient’s diagnosis or condition necessitating the xenograft implantation
• Details of the procedure, including the specific joint involved and the type of tissue graft used
• Date of the procedure
• Any additional relevant information, such as preoperative and postoperative findings
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT code 0737T, ensure that the procedure meets the criteria outlined in the official description. It is important to note that CPT 0737T should not be reported in conjunction with codes 27415 and 27416. Additionally, follow any specific billing guidelines provided by the payer or coding guidelines.

8. Historical information

CPT code 0737T was added to the Current Procedural Terminology system on July 1, 2022. As a Category III code, it is used to collect information about the use and efficacy of investigational technologies and procedures. It is important to note that the inclusion of a Category III code does not imply agreement concerning efficacy, safety, or appropriateness of the procedure to clinical practice or payer reimbursement.

9. Examples

1. A provider performs xenograft implantation into the articular surface of a patient’s knee joint to address cartilage damage caused by a previous injury.
2. A surgeon performs a xenograft implantation into the articular surface of a patient’s shoulder joint to address osteoarthritis-related pain and limited mobility.
3. A provider performs a xenograft implantation into the articular surface of a patient’s hip joint to address avascular necrosis.
4. A orthopedic surgeon performs a xenograft implantation into the articular surface of a patient’s ankle joint to address post-traumatic arthritis.
5. A provider performs a xenograft implantation into the articular surface of a patient’s wrist joint to address cartilage damage caused by rheumatoid arthritis.
6. A surgeon performs a xenograft implantation into the articular surface of a patient’s elbow joint to address post-traumatic osteoarthritis.
7. A provider performs a xenograft implantation into the articular surface of a patient’s temporomandibular joint to address degenerative joint disease.
8. An orthopedic surgeon performs a xenograft implantation into the articular surface of a patient’s toe joint to address osteochondral lesions.
9. A provider performs a xenograft implantation into the articular surface of a patient’s spine joint to address degenerative disc disease.
10. A surgeon performs a xenograft implantation into the articular surface of a patient’s finger joint to address post-traumatic arthritis.