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Arul karthik Answered Wed 07th of September, 2011 18:31:23 PM

I would appreciate if you can let me know in what situation 38220 can be billed?

SuperCoder Answered Wed 07th of September, 2011 20:27:54 PM

Please refer to:

1. From a CPT coding perspective, if multiple aspirations are obtained at the same insertion site, then code 38220 should be reported one time. However, if a separately distinct needle site was aspirated (eg, iliac and sternum), then it would be appropriate to report code 38220 appended by modifier ‘59,’ Distinct procedural service, for the additional site. Supporting documentation should be reflected in the medical record to provide an adequate description and need for the additional aspiration site(s). Surgery: Female Genital System


2. If bone marrow is aspirated for grafting in an arthrodesis procedure, code 38220, Bone marrow; aspiration only, is used to report the separate aspiration procedure. However, when the bone marrow is obtained prior to the arthrodesis, the placement of the bone marrow aspirate is included as part of the arthrodesis procedure and not reported separately.

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