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CPT Codes for Regenerative Medicine in Pain Management

4/4/2023

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​CPT Codes for Regenerative Medicine in Pain Management
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​Regenerative medicine offers promising solutions for pain management. However, billing and coding for regenerative medicine procedures can be challenging. Understanding the appropriate Current Procedural Terminology (CPT) codes is critical for accurate billing and reimbursement. In this article, we will discuss CPT codes for regenerative medicine in pain management.
20552 - Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)
CPT code 20552 is used for injection of a single or multiple trigger point(s) in one or two muscles. This code is commonly used in pain management procedures that involve trigger point injections.

20553 - Injection(s); single or multiple trigger point(s), 3 or more muscles
CPT code 20553 is used for injection of a single or multiple trigger point(s) in three or more muscles. This code is commonly used in pain management procedures that involve trigger point injections.

20926 - Tissue grafts, other (e.g., paratenon, fat, dermis)
CPT code 20926 is used for the placement of tissue grafts, such as paratenon, fat, or dermis. This code may be used in regenerative medicine procedures, such as platelet-rich plasma injections.

20930 - Tissue grafts, other (e.g., paratenon, fat, dermis); cellular implantation, each additional site
CPT code 20930 is used for the cellular implantation of tissue grafts in each additional site. This code may be used in regenerative medicine procedures, such as stem cell therapy.
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0232T - Percutaneous implantation of biologic implant (e.g., stem cell) into the intervertebral disc space, lumbar
CPT code 0232T is used for percutaneous implantation of biologic implants, such as stem cells, into the intervertebral disc space in the lumbar region. This code may be used in regenerative medicine procedures for low back pain.

0234T - Percutaneous implantation of biologic implant (e.g., stem cell) into the intervertebral disc space, cervical
CPT code 0234T is used for percutaneous implantation of biologic implants, such as stem cells, into the intervertebral disc space in the cervical region. This code may be used in regenerative medicine procedures for neck pain.

64450 - Injection(s), anesthetic agent and/or steroid, plantar common digital nerve(s) (e.g., Morton's neuroma)
CPT code 64450 is used for injection of anesthetic agents and/or steroids into the plantar common digital nerve(s). This code may be used in regenerative medicine procedures for Morton's neuroma.

64640 - Destruction by neurolytic agent, plantar common digital nerve(s) (e.g., Morton's neuroma)
CPT code 64640 is used for destruction of the plantar common digital nerve(s) using a neurolytic agent. This code may be used in regenerative medicine procedures for Morton's neuroma.

Accurate billing and coding for regenerative medicine procedures in pain management is critical for proper reimbursement. By understanding these CPT codes for pain management procedures, healthcare providers can ensure accurate billing and reimbursement for their services. Remember to use CPT codes 20552 and 20553 for trigger point injections,

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    ABOUT THE AUTHOR:
    Ms. Pinky Maniri-Pescasio, MSC, CSPPM, CRCR, CSBI, CSPR, CSAF is the Founder of GoHealthcare Consulting. She is a National Speaker on Practice Reimbursement and a Physician Advocate. She has served the Medical Practice Industry for more than 25 years as a Professional Medical Practice Consultant.

    Current HFMA Professional Expertise Credentials: 
    HFMA Certified Specialist in Physician Practice Management (CSPPM)
    HFMA Certified Specialist in Revenue Cycle Management (CRCR)
    HFMA Certified Specialist Payment & Reimbursement (CSPR)
    HFMA Certified Specialist in Business Intelligence (CSBI)

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  • About
    • In the News
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    • Terms of Use
  • Leadership
  • Contact Us
  • Testimonials
  • READ OUR BLOG
  • Let's Meet in Person
    • 2023 ORTHOPEDIC VALUE BASED CARE CONFERENCE
    • 2023 AAOS Annual Meeting of the American Academy of Orthopaedic Surgeons
    • 2023 ASIPP 25th Annual Meeting of the American Society of Interventional Pain Management
    • 2023 Becker's 20th Annual Spine, Orthopedic & Pain Management-Driven ASC Conference
    • 2023 FSIPP Annual Conference by FSIPP FSPMR Florida Society Of Interventional Pain Physicians
    • 2023 New York and New Jersey Pain Medicine Symposium
  • Frequently Asked Questions and Answers - GoHealthcare Practice Solutions
  • Readers Questions
  • Artificial Intelligence Division