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Bone Marrow Bx & Aspiration/same day/site

DanielleKiehl

Contributor
Messages
24
Best answers
0
How would this be coded (minus the supplies).

38220, 38221, G0364

or

G0364

There are no rules in the CPT book about them not being coded together, and i want to make sure we are doing this correctly.

Thanks a bunch!
 

epilcher

Contributor
Messages
22
Best answers
0
How would this be coded (minus the supplies).

38220, 38221, G0364

or

G0364

There are no rules in the CPT book about them not being coded together, and i want to make sure we are doing this correctly.

Thanks a bunch!
Bone Marrow + Aspiration is 38220 + 38221. G0364 is to be used in place of the 38220 for Medicare patients. When our pathologists do these we bill 38221+G0364. G0364 is a better code because it explains the situation better than 38220.

I hope this helps.
 

a_starra

Contributor
Local Chapter Officer
NAB Member
Messages
11
Best answers
0
According to CodeEdge Mar. 07, when same site/same day, you can only use 38221. You may run into a problem with getting reimbursement for both procedures billed on the same encounter.
 

epilcher

Contributor
Messages
22
Best answers
0
Do you happen to have that article? The archives only go back to October 07.


Thanks!
 
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