No, not for the procedures. PRP, autologous stem cell therapy, focused shockwave, and EMTT are not currently reimbursed by commercial insurance or Medicare for most musculoskeletal indications in the United States. When Dynamic Athlete is in-network for your insurance, we bill insurance for the office visit (consultation); the procedure itself remains out-of-pocket. HSA and FSA dollars typically apply to the procedure. At Dynamic Athlete we can provide complete superbill documentation upon request including CPT codes, ICD-10 codes, physician credentials, and procedure narrative for HSA, FSA, and insurer submission. The insurance reality is field-wide, not specific to any clinic.
The Short Answer
Regenerative orthopaedic procedures are out-of-pocket for most patients in the United States today. HSA and FSA dollars typically apply to physician-delivered procedures when prescribed for a specific medical indication. We can provide complete superbill documentation upon request so you can submit to your HSA, FSA, or insurer. We do not promise reimbursement. We do make the documentation as complete and defensible as possible.
Coverage by procedure type
| Procedure | Insurance | HSA / FSA | Notes |
|---|---|---|---|
| Office visit / consultation | In-network only | Yes (typical) | When Dynamic Athlete is in-network for your insurance, the consult is billed to insurance. Out-of-network consults are out-of-pocket. |
| PRP (Dynamic PRP+) | No | Yes (typical) | Out-of-pocket for MSK. HSA/FSA when prescribed for an indication. |
| Autologous Stem Cell (BMA, MFAT) | No | Yes (typical) | Performed within 21 CFR 1271 framework, outside drug-approval pathway. |
| Focused Shockwave / EMTT | No | Yes (typical) | Not reimbursed for MSK indications. |
| EMSELLA pelvic floor | Limited | Yes (typical) | Some indications have limited coverage paths. |
| EXOMIND TMS (cognitive performance) | No | Yes (typical) | Out-of-pocket; psychiatric TMS for FDA-cleared diagnoses has separate coverage paths. |
| Cherry financing (monthly payments) | Available | Pairs with HSA/FSA | Spread the investment over monthly payments. Soft credit check, fast approval, no impact on your credit score to check eligibility. |
Cherry financing: make cost a non-issue
For patients who would rather spread the investment over monthly payments, we offer Cherry, a healthcare financing platform purpose-built for treatments like ours. Soft credit check, fast approval at the consult, no impact on your credit score to check eligibility. Cherry pairs with HSA and FSA dollars and works alongside our superbill documentation for any insurance reimbursement consideration.
Patients use Cherry to make the staged regenerative pathway accessible without compromising on protocol quality. The right protocol is not the one you can fit into a single visit’s budget; it is the one your tissue actually needs. Cherry lets the second answer win.
What our superbill includes?
After your procedure, the superbill is available upon request, built for HSA, FSA, and out-of-network insurance submission:
- CPT procedure codes for every delivered procedure (PRP injection, stem cell harvest and reinjection, shockwave session, EMTT session, etc.)
- ICD-10 diagnosis codes tied to the specific medical indication treated
- Physician NPI and credentials for Dr. Aneesh Garg, DO, CAQ, including board certifications and teaching appointments
- Procedure narrative describing the specific protocol delivered, including ultrasound guidance, dose, and modality combinations
- Supporting imaging or ultrasound notes documenting the medical indication
- Itemized cost breakdown tied to procedure codes
Two Honest Disclaimers
1. We do not promise reimbursement. Coverage determinations depend on the specific plan administrator and policy. 2. We make the documentation as complete and defensible as possible. The superbill quality matters when you submit, and ours reflects the protocol depth.
Why isn’t regenerative covered yet?
Insurance coverage in the United States typically follows FDA approval pathways and Medicare’s national coverage determinations. PRP and autologous stem cell therapy fall outside the FDA-approved drug pathway: PRP is the patient’s own blood, and autologous stem cell therapy is performed within the FDA framework for autologous, minimally manipulated cell procedures (21 CFR 1271). This regulatory category does not currently trigger insurance reimbursement, even though the published evidence base for these procedures continues to grow.
Shockwave and EMTT face a similar pattern: established outside the US for years, FDA-cleared for specific indications, but not yet reimbursed for most musculoskeletal applications. Expect this to change over time as the evidence base expands and payers respond.
Frequently asked questions
Is PRP covered by insurance in Boulder?
No, not for the procedure itself. PRP is not currently reimbursed by commercial insurance or Medicare for musculoskeletal indications in the United States. When Dynamic Athlete is in-network for your insurance, we bill insurance for the office visit (consultation); the PRP procedure itself remains out-of-pocket. HSA and FSA dollars typically apply to the procedure when prescribed for a specific indication. At Dynamic Athlete we can provide complete superbill documentation upon request including CPT codes, ICD-10 codes, procedure narrative, and physician credentials for HSA, FSA, and insurer submission.
Is stem cell therapy covered by insurance in Boulder?
No. Autologous stem cell therapy is not currently reimbursed by commercial insurance or Medicare for musculoskeletal indications. Procedures performed within the FDA framework for autologous, same-day, minimally manipulated cell procedures (21 CFR 1271), as ours are, fall outside the FDA-approved drug pathway and therefore outside standard insurance coverage at this time. The same superbill documentation we provide for PRP applies for stem cell therapy.
Can I use HSA or FSA funds for PRP and stem cell therapy?
In most cases yes. HSA and FSA accounts generally cover qualified medical expenses, which include physician-delivered procedures such as PRP, autologous stem cell therapy, and shockwave when prescribed for a specific medical indication. We can provide complete superbill documentation upon request including CPT codes, ICD-10 codes, physician credentials, and procedure narrative that supports the HSA or FSA submission. Coverage determinations vary by plan administrator, so confirm with your HSA or FSA provider before scheduling.
What documentation does Dynamic Athlete provide for HSA, FSA, and insurer submission?
A complete superbill including CPT procedure codes, ICD-10 diagnosis codes, the physician’s NPI and credentials, a procedure narrative describing the specific protocol delivered, the imaging or ultrasound notes supporting the medical indication, and an itemized cost breakdown. The same documentation supports HSA accounts, FSA accounts, and out-of-network insurance reimbursement consideration. We do not promise reimbursement; we do make the documentation as complete and defensible as possible.
Are any regenerative or related procedures covered by insurance?
Some EMSELLA pelvic floor indications and some psychiatric TMS indications have limited coverage paths in specific clinical settings. EXOMIND TMS for cognitive performance, post-concussion recovery, brain fog, and burnout is generally out-of-pocket because it is not delivered as psychiatric TMS for an FDA-cleared psychiatric diagnosis. Shockwave therapy is not currently reimbursed for musculoskeletal indications in the United States.
Why isn’t regenerative medicine covered by insurance yet?
Insurance coverage in the United States typically follows FDA approval pathways and Medicare’s national coverage determinations. PRP and autologous stem cell therapy fall outside the FDA-approved drug pathway: PRP is the patient’s own blood, and autologous stem cell therapy is performed within the FDA framework for autologous, minimally manipulated cell procedures (21 CFR 1271). This regulatory category does not currently trigger insurance reimbursement, even though the published evidence base for these procedures continues to grow.
Can I finance regenerative medicine at Dynamic Athlete?
Yes. We offer Cherry, a healthcare financing platform that lets you spread the investment over monthly payments. Soft credit check, fast approval at the consult, no impact on your credit score to check eligibility. Cherry pairs with HSA or FSA dollars and works alongside our superbill documentation. Patients use Cherry to make the staged regenerative pathway accessible without compromising on protocol quality. The right protocol is the one your tissue actually needs, not the one that fits a single visit’s cash budget.