AHA Coding Clinic® for HCPCS - 2012 Issue 3; Ask the Editor

Bone Marrow Aspiration

What is the correct way to report HCPCS code G0364, Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service, at the facility? Is this code reported once and includes both the aspiration and the biopsy? Or should CPT code 38221, Bone marrow; biopsy, needle or trocar, be reported with G0364? Is code G0364 considered a unilateral or bilateral code? If the procedure is performed on the right and left iliac crest, how would the procedure be reported and what would be the appropriate modifier? If performed on different bones or if different incisions were made, would HCPCS code G0364 be an appropriate code assignment for this scenario? ...

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