Most regenerative injection therapies do not have specific CPT billing codes.
"a lot of what I did was regenerative injection therapies and those are not—there's not even a CPT code for most of those" (said at 0:25:04)
The claim that there is no CPT code for most regenerative injection therapies is partially correct but requires qualification. Specific CPT codes do exist for certain prominent regenerative treatments; for example, CPT code 0232T was created specifically for platelet-rich plasma (PRP) injections (including harvesting, preparation, and ultrasound guidance). However, many other regenerative injection modalities—such as dextrose prolotherapy, stem cell therapies, and autologous blood injections—do not have dedicated, specific CPT category I codes and are typically billed using unlisted Category I codes, HCPCS S-codes (e.g., S1090), or broader musculoskeletal injection codes, often without insurance coverage.
- context: An Analysis of Current Treatment Trends in Platelet-Rich Plasma Therapy in the Medicare Da… (Orthopaedic journal of sports medicine 2020)
"The Medicare Standard Analytical Files within the PearlDiver database were queried for PRP injections by use of Current Procedural Terminology (CPT) code 0232T from 2010 to 2014." (abstract, methods, passage verified)
pubmedfull study (doi) - context: Trends in utilization, demographics, and costs of platelet-rich plasma injections: a ten-y… (The Physician and sportsmedicine 2024)
"We conducted a search using Current Procedural Terminology codes to identify patients who received PRP injections between 2010 and 2019 using the PearlDiver database." (abstract, methods, passage verified)
pubmedfull study (doi)