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?
Assign CPT code(s) 38232, Bone marrow harvesting for transplantation; autologous and 27299, Unlisted procedure, pelvis or hip joint, for the hip core decompression and append modifier RT, Right side, to identify the hip laterality.
Unfortunately, the Central Office on HCPCS does not address HCPCS S-codes. The HCPCS S-codes are used by the Blue Cross/Blue Shield Association (BCBSA) and the Health Insurance Association of America (HIAA) to report drugs, services, and supplies. However, these codes are used by the Medicaid program, but are not recognized by Medicare.