Medicare Compliance & Reimbursement - 2018 Issue 2
CPT® 2018: Update Bone Marrow Sampling With New, Revised Codes
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Article Overview
This premium article explains 2018 updates affecting bone marrow sampling reporting in CPT and HCPCS Level II. It is aimed at coding professionals, billers, and others who need to understand the revised structure for bone marrow aspiration and biopsy services, the retirement of an older HCPCS code, and the broader context of related extraction and diagnostic procedures. The discussion also covers when related reporting is affected by site, session, and payer considerations, along with general references to coding guidance and fee schedule impact.
Why This Topic Matters
The article matters because it addresses a change in how a common hematology-related service is represented in coding systems, which can affect claim accuracy, payer consistency, and selection of the most specific code set entry. It also helps readers distinguish bone marrow procedures from other specimen extraction or biopsy services that may look similar but belong to different code families.
Article Sections
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Check Out These Code Changes
Introduces the 2018 updates to the relevant code sets and identifies the broad nature of the changes.
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Same Site Means Coding Trouble
Discusses how same-day, same-site specimen extraction scenarios create reporting considerations and why payer handling may vary.
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Describe Both Procedures With One New Code
Explains the general shift in reporting approach associated with the 2018 code update and references related guidance.
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See the Cost Impact
Summarizes the financial impact discussed in the article using Medicare fee schedule context.
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Beware Similar Extraction Codes
Highlights other procedure families that may be relevant when the service resembles bone marrow extraction but falls under different coding concepts.
What You Will Learn
- Which code sets were updated for bone marrow sampling in 2018
- How the article frames same-day specimen extraction reporting considerations
- Which broader procedure categories are mentioned as comparison points
- What types of guidance are discussed for payer and fee schedule context
Who Should Read This
- Professional medical coders
- Billing specialists
- Practice managers
- Compliance staff
- Hematology/oncology coding teams
Codes Discussed
Modifiers Discussed
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