Bone marrow harvesting for transplantation

Patient with bilateral hip osteonecrosis presents for treatment of the right hip with core decompression, bone grafting and application of bone marrow aspirate. Bone marrow was aspirated and bone graft was obtained from each side of the pelvis. Under fluoroscopic guidance, a guide wire was guided into the problem area of the femur and a cannula was introduced into the cavity where injection of bone marrow aspirate concentrate and bone graft was used to fill the void. Cement was used to close the hole. The following codes are being considered for the procedures performed: HCPCS code S2325, Hip core decompression or CPT codes 38220, Bone marrow; aspiration only, 38232, Bone marrow harvesting for transplantation; autologous or 0232T, Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed. What are the correct code(s) to report the procedures performed? ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This premium article reviews coding considerations for a musculoskeletal procedure that includes bone marrow aspiration or harvesting in the setting of hip and femur treatment. It is intended for coders, billers, auditors, and reimbursement staff who need to understand how the article frames the applicable procedure categories, the service setting, and the code sets under discussion.

Why This Topic Matters

Procedures involving bone marrow harvest, aspiration, and orthopedic reconstruction can be coded from different code sets depending on how the service is reported. This article helps readers evaluate the scope of the case and the coding references discussed in the premium content.

What You Will Learn

  • The general procedure components discussed in the article
  • How the article frames the related orthopedic and bone marrow service categories
  • Which code sets and procedure codes are being considered in the premium discussion
  • The clinical context in which the reported services occurred

Who Should Read This

  • Medical coders
  • Billing professionals
  • Coding auditors
  • Revenue cycle staff
  • Orthopedic practice staff

Codes Discussed

  • HCPCS Level II: S2325
  • CPT: 38220
  • CPT: 38232
  • CPT: 0232T

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