ICD-10-CM Documentation 2021 (Essential Chartin Guidance to Support clinical Necessity) first Edition Set)
Basics the CPT password for bone marrow biopsy/aspiration

bone marrow biopsy procedure is perform to remove a small amount of bone and a little amount that fluid and cells from inside the bone (bone marrow). While a bone marrow aspiration is performed to remove just the marrow. We have actually learnt about thyroid biopsy, lung biopsy, breast biopsy procedure coding. Here, likewise we have actually separate CPT code for bone marrow biopsy and also aspiration.

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In diagnostic bone marrow aspiration, the bone marrow sample are usually taken from the pelvic bone or sternum. CPT password 38220, is offered to report because that diagnostic bone marrow aspiration. Prior to performing the procedure, the totality skin over the bone is cleaned v an antiseptic solution. Climate by injecting local anesthesia, the medical professional insert a needle beneath the skin and rotates till the needle penetrates the cortex. At least 2.5 cc of marrow is aspirated the end of the bone by a syringe attached come the needle. For Fine Needle aspiration procedure additionally we have actually separate CPT codes.

In diagnostic bone marrow biopsies, the very same procedure is repeated and only a sample the bone and fluid is gotten rid of from within the bone (bone marrow). CPT code 38221 is reported for coding for bone marrow biopsy.

When both bone marrow biopsy and also bone marrow aspiration is performed in ~ the very same session, a brand-new CPT code 38222 has actually been added in 2018 to report both the actions together.

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Code summary for CPT password 38220, 38221 and 38222

We are familiar with CPT code 38220 and 38221, however in 2018 we have actually a brand-new procedure password 38222 for coding both procedure (bone marrow biopsy and aspiration together). Listed below is the detail code summary for these procedure codes.


38220 Diagnostic bone marrow; aspiration(s)

38221 Diagnostic bone marrow; biopsy(ies)

38222 Diagnostic bone marrow; biopsy(ies) and also aspiration(s)

There space some associated bone biopsy procedure code as well for superficial and also deep bone.

20220 Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)

20225 Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)

On January 1, 2018, the long-utilized HCPCS password G0364 (Bone marrow aspiration performed with bone marrow biopsy with the same incision top top the same date of service) has actually been deleted. This was used for Medicare billing when both a needle biopsy and aspiration of bone marrow to be performed with the same access site. It was an add-on password reported in addition to the password for the biopsy (38221).

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Do and also Don’t because that CPT code 38220, 38221 and also 38222

Do not report 38220 in conjunction v 38221

When diagnostic bone marrow biopsy(ies) and also aspiration(s) perform at exact same session usage cpt password 38222.

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In the inexplicable circumstance as soon as an aspiration is performed in ~ one site, and a biopsy is performed in ~ a completely separate website (e.g., right and left iliac crests or sternum), report codes 38220-59 and 38221.