The American Medical Association still reiterates the following inclusions, “…Code 0232T also includes any imaging guidance used for harvesting and the preparation for injection. Therefore, it is not appropriate to report code 86999, Unlisted transfusion medicine procedure, for obtaining and centrifuging the blood drawn or to report code 86985, Splitting of blood or blood products, each unit, to describe the derivation of the platelets. In addition, none of the codes specific to aspiration or harvesting of bone marrow (eg, 38220, 38230, etc.) would be appropriate to report when the procedure is being performed to obtain platelet rich plasma.”
0232T is only to be used if no surgical procedure is done to coincide with the injection
http://www.aapc.com/memberarea/forums/showthread.php?t=54635
If the injection is in the office you cannot bundle the procedure and bill for ultrasound examination or Blood Draw: