Bone Marrow Aspiration

What is the correct way to report HCPCS code G0364, Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service, at the facility? Is this code reported once and includes both the aspiration and the biopsy? Or should CPT code 38221, Bone marrow; biopsy, needle or trocar, be reported with G0364? Is code G0364 considered a unilateral or bilateral code? If the procedure is performed on the right and left iliac crest, how would the procedure be reported and what would be the appropriate modifier? If performed on different bones or if different incisions were made, would HCPCS code G0364 be an appropriate code assignment for this scenario? ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This premium article focuses on billing and coding guidance for bone marrow aspiration and biopsy services in the facility setting. It is aimed at coders, billers, and compliance staff who need to understand how related HCPCS and CPT codes are discussed together, along with questions about service reporting structure and laterality considerations. The article is relevant to readers seeking clarification on how this procedure is addressed in official coding guidance.

Why This Topic Matters

Bone marrow aspiration and biopsy claims can be difficult to report correctly when multiple related procedures are performed on the same date and through the same incision. This article helps readers understand the scope of the coding guidance being discussed so they can review the full premium content for the exact reporting details.

What You Will Learn

  • The general coding topics involved in bone marrow aspiration and biopsy reporting
  • How facility-setting reporting questions are framed in relation to related codes
  • What issues are discussed regarding laterality and same-day service reporting
  • How the article organizes guidance around bone marrow procedure coding questions

Who Should Read This

  • Medical coders
  • Billing staff
  • Revenue cycle professionals
  • Compliance staff
  • Facility coding teams

Codes Discussed

  • HCPCS Level II: G0364
  • CPT: 38221

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