Can CPT code 38220 and 38221 be billed together?

Can CPT code 38220 and 38221 be billed together?

CPT codes 38220 and 38221 may only be reported together if the two procedures are performed at separate and distinct sites, or at separate patient encounters. Separate sites include bone marrow aspiration and biopsy in different bones or with two separate skin incisions over the same bone.

What is CPT code G0364?

HCPCS/CPT code G0364 may be reported to describe the bone marrow aspiration performed with bone marrow biopsy through the same skin incision on the same date of service.

How do you code a bone marrow biopsy?

When a bone marrow biopsy is performed, the appropriate code is CPT code 38221 (bone marrow biopsy).

When reporting a bone marrow aspiration with biopsy which of the following codes should be assigned?

1. When diagnostic bone marrow aspiration(s) is performed alone, the appropriate code to report is CPT code 38220. When diagnostic bone marrow biopsy(ies) is performed alone, the appropriate code to report is CPT code 38221. This code shall not be reported with CPT code 20220 (Bone biopsy).

What is procedure code 38220?

CPT® Code 38220 – Bone Marrow or Stem Cell Services/Procedures – Codify by AAPC. ` Overview.

What is the ICD 10 PCS code for bone marrow biopsy?

07DR3ZX
The ICD-10-PCS code for this procedure is 07DR3ZX. The fourth character (R) identifies the body part as bone marrow, iliac. Unlike ICD-9-CM, the code specifies the specific location of the bone marrow biopsy.

Does 31622 need a modifier?

You would have to use the modifier –59, Distinct procedural service. CPT code 43200 and 31622 may be reported together using the modifier –51, Multiple procedures.

What is the difference between CPT code 38220 and 38221?

Code 38220 now specifies that the procedure may include any number of aspirations, and the plural option “ies” is added to biopsy in the descriptor for 38221 to indicate any number of biopsies included as part of the procedure.

What is the CPT code for biopsy and aspiration?

In this case, CPT code 38221 should be reported for the biopsy, and HCPCS code G0364 should be reported for the aspiration. If documentation supports the same surgical site, the provider must report procedure codes 38221 and G0364. No payment will be made for HCPCS code G0364 when reported independently.

What is the new HCPCS code for bone marrow aspiration?

On January 1, 2018, the long-utilized HCPCS code G0364 (Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service) has been retired.

Can you report biopsy 28220 and biopsy 38222 together?

Additionally, you should never report 28220 and 38221 together to report biopsy and aspiration at the same location: in such a case, 38222 is appropriate. You may report 38220 and 328221 together if the aspiration and biopsy occur at different locations.