Surgery: Hemic and Lymphatic Systems (January 2004)

January 2004 page 26 Coding Consultation: Questions and Answers Hematic and Lymphatic, 38220 (Q&A) Question Is it appropriate to report code 38220 , Bone marrow; aspiration only, with the use of units? The units in this example would be insertion of a needle at separate sites or moving the needle within the same incision/ insertion site to obtain multiple aspirations. AMA Comment From a CPT coding perspective, if multiple aspirations are obtained at the same insertion site, then code 38220 should be reported one time. However, if a separately distinct needle site was aspirated (eg, iliac and sternum), then...

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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 January 2004 coding consultation article covers a question-and-answer discussion from CPT Assistant about a hematic and lymphatic system procedure. It is aimed at coders and billing professionals who need to understand the general topic of reporting a bone marrow aspiration scenario, including the role of documentation and modifier use in the context of distinct service sites.

Why This Topic Matters

Articles like this help coders and auditors interpret procedure reporting questions consistently and support compliant documentation practices. It is especially relevant when a service may involve more than one site or repeated work during the same encounter.

Article Sections

  1. Coding Consultation: Questions and Answers

    A Q&A-style coding consultation focused on a procedure reporting question within the hematic and lymphatic systems category. The section presents the coding topic and the editorial response in general terms.

What You Will Learn

  • The article’s general focus within CPT Assistant coding consultation content.
  • How the discussion relates to repeated or separate procedure sites.
  • The importance of supporting documentation in a procedure reporting question.
  • The broad coding context for hematic and lymphatic system services.

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing specialists
  • Compliance staff
  • Revenue cycle professionals

Codes Discussed

Modifiers Discussed


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CPT Assistant’s visual aids, such as anatomical illustrations and procedural charts, make complex codes easier to understand, improving your accuracy and efficiency. By integrating this resource into your daily workflow, you can save valuable time and enhance your productivity.

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