Overview of CPT Code 21175: Injection of bone marrow aspirate

Overview of CPT Code 21175: Injection of bone marrow aspirate

CPT Code 21175 refers to the injection of bone marrow aspirate, a procedure used to extract and inject bone marrow cells for therapeutic purposes, often in the treatment of various hematological conditions.

When CPT Code 21175 is Used?

This procedure is indicated in several clinical scenarios.

• Treatment of osteonecrosis or avascular necrosis.
• Management of certain types of bone fractures that are not healing properly.
• Support in the treatment of bone marrow disorders.
• Enhancement of healing in orthopedic surgeries.

Symptoms Indicating This Procedure

Patients may present with various symptoms that lead to the consideration of this procedure.

• Persistent bone pain.
• Swelling in the affected area.
• Limited range of motion in joints.
• Signs of infection or inflammation.

Causes and Risk Factors

Several factors can contribute to the need for a bone marrow aspirate injection.

• Previous trauma or injury to the bone.
• Chronic diseases affecting bone health.
• Genetic predispositions to bone disorders.
• Age-related degeneration of bone tissue.

Diagnostic Tests Before Procedure

Prior to the procedure, certain diagnostic tests may be performed.

• X-rays to assess bone structure.
• MRI scans to evaluate bone marrow health.
• Blood tests to check for underlying conditions.
• Bone density tests to measure bone strength.

Procedure Description

The injection of bone marrow aspirate involves several key steps.

• Patient is positioned comfortably and the area is cleaned.
• Local anesthesia is administered to minimize discomfort.
• A needle is inserted into the bone to extract bone marrow aspirate.
• The aspirate is prepared and injected into the targeted area.
• The site is bandaged and monitored for any immediate reactions.

Preparation for the Procedure

Patients should follow specific guidelines to prepare for the procedure.

• Discuss any medications with your doctor, especially blood thinners.
• Avoid eating or drinking for a specified period before the procedure.
• Arrange for transportation home post-procedure if sedation is used.
• Wear comfortable clothing to the appointment.

Recovery and Aftercare

Post-procedure recovery is crucial for optimal healing.

• Rest for the first 24 hours after the procedure.
• Keep the injection site clean and dry.
• Apply ice to reduce swelling if necessary.
• Follow up with your doctor as advised for monitoring.

Possible Complications

While generally safe, there are potential risks associated with the procedure.

• Infection at the injection site.
• Bleeding or bruising.
• Allergic reactions to anesthesia.
• Nerve damage in rare cases.

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Post-Procedure Follow-Up

Follow-up care is essential to ensure proper recovery.

• Schedule a follow-up appointment within a week.
• Monitor for any signs of complications.
• Discuss the effectiveness of the treatment with your doctor.
• Adjust any ongoing treatment plans as necessary.

Alternative Treatments

There are several non-surgical options available.

• Physical therapy to strengthen surrounding muscles.
• Medications for pain management.
• Corticosteroid injections to reduce inflammation.
• Nutritional supplements to support bone health.

Home Care Tips

Patients can take steps at home to aid recovery.

• Stay hydrated and maintain a balanced diet.
• Engage in gentle exercises as recommended by your doctor.
• Avoid heavy lifting or strenuous activities for a few days.
• Keep a journal of any symptoms or changes in condition.

Patient Education & Prevention

Educating patients can help prevent future issues.

• Understand the importance of bone health and nutrition.
• Engage in regular weight-bearing exercises.
• Avoid smoking and excessive alcohol consumption.
• Regular check-ups to monitor bone health.

Billing and Coding Information

CPT Code: 21175

Category: Surgical Procedures

Common Modifiers:

• 50 - Bilateral procedure
• LT - Left side
• RT - Right side

Average Cost and Insurance Coverage

Costs can vary based on location and insurance.

• Average cost ranges from $1,500 to $3,000.
• Most insurance plans cover the procedure if deemed medically necessary.
• Check with your insurance provider for specific coverage details.

Related CPT Codes

• 20610 - 'Arthrocentesis, aspiration of joint'
• 20605 - 'Arthrocentesis, aspiration, and/or injection into a major joint or bursa'

References and Sources

• Bone Marrow Aspirate Injection Overview
• Clinical Applications of Bone Marrow Aspirate