tci Part B Insider - 2012 Issue 3

Reader Question: Private Payers May Prefer to Use Medicare Codes

Question: For private payers, should I report G0364 or 38220 for aspiration and biopsy at the same session?Answer: As is so often the case, you should get your payer's preference in writing and follow that instruction for that payer. In general terms, when the physician performs a bone marrow aspiration and biopsy at the same site during the same session, you should report 38221 (Bone marrow; biopsy, needle or trocar) for the biopsy. For private payers who don't accept G0364 (Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service)...

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