AHA Coding Clinic® for HCPCS - 2017 Issue 3; Ask the Editor

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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