tci General Surgery Coding Alert - 2014 Issue 8

You Be the Coder: Identify Same or Different Incision for Bone Marrow Coding

Question: When our surgeon performs a bone marrow aspiration and biopsy for a Medicare beneficiary, should we report 38221and 38220 or G0364?  Georgia Subscriber Answer: The answer varies depending on whether the aspiration and biopsy are through the same or separate incisions, even if they’re from the same bone.   If the aspiration and biopsy are through the same incision, you should report 38221 (Bone marrow; biopsy, needle or trocar) for the biopsy and G0364 (Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service) for the aspiration.  ...

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