Hematology and Coagulation, 85095, 85102 (Q&A) (October 1998)
October 1998 page 11b
Coding Consultation
Hematology and Coagulation, 85095, 85102 (Q&A)
Question
Can my physician report codes 85095, Bone marrow; aspiration only, and 85102, Bone marrow biopsy, needle or trocar? He is under the impression that he can not bill codes from this section because he is not a pathologist.
AMA Comment
Both codes (85102 and 85095) are located in the pathology and laboratory section of CPT even though they represent obtaining the biopsy and aspiration. Since CPT is a nomenclature rather than a strict classification system, there may be some procedures that appear in sections other...
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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 article presents an AMA Coding Consultation Q&A from CPT Assistant focused on hematology and coagulation coding. It explains the broader context for how CPT organizes procedures, who may use services listed in different sections, and why the placement of a procedure in a section does not by itself limit reporting by a particular specialty. The piece is relevant to physicians, coders, and billing staff who need background on CPT structure and specialty-related coding concerns.
Why This Topic Matters
It helps readers understand how CPT section placement relates to reporting questions and specialty assumptions, which can affect claim preparation and code selection awareness.
Article Sections
October 1998 page 11b
Publication information identifying the issue and page location for the coding consultation.
Coding Consultation
Introductory consultation context for a CPT Assistant question and answer on hematology and coagulation coding.
Question
A billing question about whether certain bone marrow-related services may be reported by a physician outside a specific specialty.
AMA Comment
An AMA explanation about CPT organization, section placement, and general reporting considerations across specialties.
What You Will Learn
How CPT Assistant frames a hematology and coagulation coding question
Why CPT section placement can matter in coding discussions
How specialty assumptions may arise in reporting questions
What kind of general guidance the AMA provides in a coding consultation
Who Should Read This
Physicians
Medical coders
Billing staff
Coding educators
Practice managers
Codes Discussed
CPT: 85095
CPT: 85102
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