AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2021 Quarter 4; ICD-10-PCS New/Revised Codes
Extraction of Bone Marrow from Other Sites
A patient with pancytopenia underwent percutaneous bone marrow biopsy. A dermatotomy was created on the right thigh. A bone marrow biopsy needle was advanced into the femoral diaphysis just below the surgical neck, for bone marrow aspiration. Next, a bone marrow core biopsy sample was obtained from a second puncture site. What are the correct code assignments for the biopsies? ...
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Article Overview
This article explains a revision to an ICD-10-PCS table used for lymphatic and hemic system procedures and shows how the update relates to bone marrow procedures performed at sites other than the usual locations. It is aimed at coders, auditors, and clinical documentation specialists who need to understand the scope of the table change and the type of procedural examples discussed. The article also includes an applied example involving bone marrow aspiration and core biopsy and discusses how the relevant procedure categories are represented in ICD-10-PCS.
Why This Topic Matters
Updates to ICD-10-PCS tables can change how bone marrow procedures are represented in the code set. Understanding the scope of the change helps coders review documentation and align procedure reporting with the updated classification structure.
Article Sections
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ICD-10-PCS table update
Describes a change to the lymphatic and hemic systems table and the addition of a body part value for bone marrow at other sites. The section focuses on the structural update to the code table rather than detailed coding guidance.
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Clinical example and code assignment discussion
Presents an example involving bone marrow procedures performed at a femoral site and discusses the associated procedural categorization in ICD-10-PCS. The section shows the type of documentation scenario addressed by the article.
What You Will Learn
- How an ICD-10-PCS table update changes the representation of certain bone marrow procedures
- What types of clinical scenarios are used to illustrate the update
- Which procedure categories are discussed in relation to bone marrow sampling from a nonstandard site
- How the article frames the relationship between the table change and applied coding examples
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation specialists
- Health information management professionals
Codes Discussed
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