2023 Specialty Day Access Pass-How Do I Bill for Biologics in My Practice? What Is the Cost?

How Do I Bill for Biologics in My Practice? What Is the Cost?

Video Transcription

Video Summary

Brian Cole discusses the growing demand for orthobiologic treatments as alternatives to arthroplasty and soft tissue injuries. He highlights patient misconceptions fueled by imprecise public language, emphasizing that current therapies are not truly regenerative but may have local growth factor effects. Billing for these treatments is complex: corticosteroids and hyaluronic acid often get reimbursed, while PRP and bone marrow aspirate are usually self-pay and considered investigational by insurers. Proper patient education and informed consent are crucial. Some surgical adjuncts show promising clinical data, but widespread adoption and insurance coverage remain challenges, with ongoing need for research and regulatory guidance.

Asset Caption

Brian J. Cole, M.D., M.B.A., FAANA

Keywords

orthobiologic treatments

arthroplasty alternatives

patient education

insurance reimbursement

regulatory guidance