tci Outpatient Facility Coding Alert - 2014 Issue 9

CMS Coding Guidelines: Don't Panic When Coding 38220-59 if You Meet These Medicare-Approved Conditions

Remember your ‘G’ code as another option in some cases. If your physician takes both a bone marrow biopsy and a bone marrow aspiration during the same encounter, whether you’ll see Medicare reimbursement depends on the two guidelines below. But watch out: With OIG scrutiny and a HCPCS twist, these guidelines will put your coding savvy to the test. Guideline 1: Append 59 for Different Sites and Encounters A bone marrow biopsy and a bone marrow aspiration can provide different diagnostic information for certain leukemia evaluations and taking both specimens from the same patient on the same...

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