AHA Coding Clinic® for HCPCS - 2020 Issue 2; Ask the Editor

Bone marrow aspiration with injection into the shoulder joint

A patient with impingement syndrome of the left shoulder presented for diagnostic arthroscopy with regenerative injection of concentrated bone marrow mesenchymal stem cells for repair. Ten cc’s of bone marrow was aspirated from the iliac crest. The bone marrow aspirate was not manipulated in any way and set aside. After the diagnostic arthroscopy, 8-10cc’s of the bone marrow aspirate was injected into the shoulder joint. What is the CPT code for a bone marrow aspiration procedure in which the surgeon is harvesting the marrow via the iliac crest without biopsy or manipulation (no platelet rich plasma) and then injecting that bone marrow into the shoulder joint? ...

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