Coding Brief: Bone Marrow Aspiration/Injection of Platelet/Stem Cells (0232T) (May 2012)

May 2012 pages 11-12 Coding Brief: Bone Marrow Aspiration/Injection of Platelet/Stem Cells (0232T) Category III code 0232T, Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed, was implemented effective July 1, 2010. Since implementation of code 0232T we have received questions related to the use of code 0232T when platelet rich stem cells are derived by bone marrow aspiration as opposed to venous blood collection. Example: What code(s) should be reported for the purpose of deriving and injecting platelet rich stem cells from bone marrow aspirate for a patient with a diagnosis of nonunion...

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

Article Overview

This coding brief reviews CPT guidance on platelet-rich plasma and stem cell procedures when bone marrow aspiration is part of the service, along with related bone marrow aspiration, biopsy, and harvesting topics. It is useful for coders, billers, and clinical documentation staff who need to understand how the article frames these services across CPT Category III and standard CPT coding contexts. The article includes a procedural discussion, coding distinctions, and illustrative clinical examples tied to bone marrow collection and transplantation-related services.

Why This Topic Matters

These services can involve overlapping procedures and multiple CPT code families, so understanding the article helps support accurate reporting and reduce confusion when bone marrow aspiration, harvesting, or injection services are performed in the same encounter.

Article Sections

  1. May 2012 pages 11-12

    Introductory publication details and the overall topic of the coding brief.

  2. Coding Brief: Bone Marrow Aspiration/Injection of Platelet/Stem Cells (0232T)

    Discussion of platelet-rich plasma and stem cell-related coding issues, including bone marrow aspiration context and related CPT guidance.

  3. CPT Code 38220

    Overview of the bone marrow aspiration-only code and how it is discussed in relation to grafting and diagnostic aspiration.

  4. Description of Procedure (38220)

    General procedural overview for bone marrow aspiration, including typical sites and collection approach.

  5. CPT Code 38230

    Discussion of bone marrow harvesting for transplantation and how it is distinguished from other marrow collection services.

  6. Clinical Example (38230)

    A donor-focused illustrative scenario associated with bone marrow harvesting for transplantation.

  7. Description of Procedure (38230)

    General procedural overview for bone marrow harvest performed in a transplantation setting.

  8. Clinical Example (38232)

    An illustrative patient scenario associated with autologous bone marrow harvesting for transplantation.

  9. Description of Procedure (38232)

    General procedural overview for autologous bone marrow harvest performed in a transplantation setting.

What You Will Learn

  • How the article frames platelet-rich plasma and stem cell-related services in CPT guidance
  • How bone marrow aspiration and harvesting topics are addressed in relation to transplantation services
  • How the article organizes procedural discussion and clinical examples for related coding questions
  • What kinds of coding issues the brief addresses for marrow collection and injection services

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Clinical documentation specialists
  • Revenue cycle teams
  • Orthopedic and hematology/oncology practices

Codes Discussed

  • CPT: 0232T
  • CPT: 27724
  • HCPCS Level II: 86999
  • CPT: 86985
  • CPT: 38220
  • CPT: 20938
  • CPT: 38221
  • CPT: 38230
  • CPT: 38232

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