Bone Marrow Biopsy and Aspiration (May 2018)

May 2018 pages 3-4 Bone Marrow Biopsy and Aspiration A number of code revisions have been made to the Hemic and Lymphatic Systems subsection of the Current Procedural Terminology (CPT®) 2018 code set in response to the AMA/Specialty Society Relative Value Scale (RVS) Update Committee (RUC) Relativity Assessment Workgroup (RAW) recommendation. The Centers for Medicare & Medicaid Services requested a review of code 38221, Diagnostic bone marrow; biopsy(ies),which was identified as a code with high total expenditures and not recently reviewed. To improve accurate coding of a diagnostic bone marrow aspiration and/or biopsy, codes 38220, Diagnostic bone...

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

Article Overview

This May 2018 CPT Assistant article explains recent updates affecting bone marrow aspiration and biopsy reporting, including revisions tied to CPT 2018 and related add-on and bilateral procedure guidance. It is relevant to coders, billers, and compliance staff who work with hematology, pathology, musculoskeletal, and spine-related procedures and need a high-level understanding of the article’s scope before reviewing the full premium content.

Why This Topic Matters

Bone marrow services were affected by code revisions and new reporting distinctions, so accurate understanding of the article helps readers identify whether they need guidance on diagnostic versus therapeutic reporting, bilateral billing, and related procedure categories.

Article Sections

  1. May 2018 pages 3-4

    Introduces the topic and summarizes the overall purpose of the article. It places the discussion in the context of 2018 CPT updates and related specialty society review activity.

  2. Grafts (or Implants)

    Covers a bone marrow-related add-on service in the graft/implant area and its relationship to spine surgery reporting. The section also notes related procedure categories and bilateral procedure guidance.

  3. Bone Marrow or Stem Cell Services/Procedures

    Addresses diagnostic bone marrow aspiration and biopsy services and the separation of diagnostic reporting from therapeutic or transplant-related services. It also references related code changes and associated reporting considerations.

  4. Coding Tip

    Provides a brief billing-focused note on bilateral reporting for diagnostic bone marrow services and payer variation. The section also summarizes general reporting considerations for aspiration, biopsy, and combined services.

What You Will Learn

  • How the article frames CPT 2018 updates for bone marrow-related services
  • Which general service categories are discussed in the article
  • What broad reporting topics are covered, including diagnostic, therapeutic, and bilateral considerations
  • Which organizations and code-set updates prompted the article's discussion

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance professionals
  • Hematology and pathology coding staff
  • Spine surgery coding staff

Codes Discussed

Code Ranges Discussed

  • CPT: 22319, 22532, 22533, 22534, 22548, 22551, 22552, 22554, 22556, 22558, 22590, 22595, 22600, 22610, 22612, 22630, 22633, 22634, 22800, 22802, 22804, 22808, 22810, 22812

Modifiers Discussed


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