New code table XK0, Introduction, Muscles, Tendons, Bursae and Ligaments, captures a new technique for treating advanced, limb-threatening peripheral artery disease.
|0 Concentrated Bone Marrow Aspirate|
Treatment of critical limb ischemia of extremities generally involves bypass, angioplasty, stenting, or atherectomy or, if those procedures fail, amputation. Intramuscular autologous bone marrow cell therapy is a new technique that uses stem cells taken from the patient to promote angiogenesis, the formation of new blood vessels.
In the procedure, bone marrow is first aspirated from the iliac crest. This step is coded separately. The collected bone marrow is centrifuged to create concentrated bone marrow stem cell aspirate and then injected at multiple locations along a limb muscle, such as the gastrocnemius.
The MarrowStim PAD is an example of a kit used to collect, concentrate, and inject the cells.