Overview of CPT Code 21206: Injection of bone marrow aspirate

Overview of CPT Code 21206: Injection of bone marrow aspirate

CPT Code 21206 refers to the injection of bone marrow aspirate, a procedure where bone marrow is extracted and injected into a specific site to promote healing and regeneration of tissues.

When CPT Code 21206 is Used?

This procedure is indicated in various clinical scenarios.

• Treatment of osteonecrosis or avascular necrosis of the bone.
• Management of chronic non-healing wounds.
• Support in the healing of bone fractures.
• Enhancement of tissue regeneration in orthopedic surgeries.

Symptoms Indicating This Procedure

Patients may report several symptoms that lead to the consideration of this procedure.

• Persistent pain in the affected bone or joint.
• Swelling and inflammation around the injury site.
• Limited range of motion in the affected area.
• Signs of infection or delayed healing in chronic wounds.

Causes and Risk Factors

Several factors can contribute to the need for this procedure.

• Previous trauma or injury to the bone.
• Underlying conditions such as diabetes or vascular disease.
• History of smoking or excessive alcohol consumption.
• Genetic predisposition to bone disorders.

Diagnostic Tests Before Procedure

Certain tests are typically performed to guide the decision for this procedure.

• X-rays to assess bone structure and integrity.
• MRI scans to evaluate soft tissue and bone marrow conditions.
• Blood tests to check for infection or other underlying issues.
• Bone scans to identify areas of increased activity or damage.

Procedure Description

The procedure involves several key steps to ensure safety and effectiveness.

• Patient is positioned comfortably and the area is cleaned and sterilized.
• Local anesthesia is administered to minimize discomfort.
• A needle is inserted into the bone to aspirate bone marrow.
• The aspirated bone marrow is prepared for injection.
• The prepared bone marrow is injected into the targeted area.

Preparation for the Procedure

Patients should follow specific guidelines to prepare for the procedure.

• Discuss any medications with your healthcare provider, 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 and avoid applying lotions or creams to the area.

Recovery and Aftercare

Post-procedure care is essential for optimal recovery.

• Rest the affected area and avoid strenuous activities for a few days.
• Apply ice to reduce swelling and discomfort.
• Follow up with your healthcare provider as instructed.
• Take prescribed medications for pain management as needed.

Possible Complications

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

• Infection at the injection site.
• Bleeding or hematoma formation.
• Nerve damage or injury to surrounding tissues.
• Allergic reaction to anesthesia or other materials used.

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Post-Procedure Follow-Up

Monitoring after the procedure is crucial for assessing recovery.

• Schedule a follow-up appointment within 1-2 weeks post-procedure.
• Report any unusual symptoms such as increased pain or swelling.
• Discuss the effectiveness of the treatment and any further steps needed.

Alternative Treatments

There are non-surgical options available for managing similar conditions.

• Physical therapy to improve mobility and strength.
• Medications such as anti-inflammatories or pain relievers.
• Corticosteroid injections to reduce inflammation.
• Use of orthotics or braces to support the affected area.

Home Care Tips

Patients can take simple steps at home to aid recovery.

• Keep the injection site clean and dry.
• Monitor for signs of infection such as redness or discharge.
• Stay hydrated and maintain a balanced diet to support healing.
• Engage in gentle exercises as recommended by your healthcare provider.

Patient Education & Prevention

Understanding how to prevent future issues is vital.

• Maintain a healthy lifestyle with regular exercise and a balanced diet.
• Avoid smoking and limit alcohol consumption.
• Manage chronic conditions effectively to reduce risks.
• Stay informed about bone health and seek regular check-ups.

Billing and Coding Information

CPT Code: 21206

Category: Surgical Procedures

Common Modifiers:

• -50
• -LT
• -RT

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'
• 20611 - Arthrocentesis, aspiration, and/or injection into a major joint or bursa.

References and Sources

• Bone Marrow Aspirate Injection
• Understanding Bone Marrow Procedures