Question: Can I report both a bone marrow aspiration and a biopsy performed at the same site on the same day? You don't need to use G0364 for insurers other than Medicare, unless they recognize the code.
Massachusetts Subscriber
Answer: When your oncologist performs a bone marrow biopsy and an aspiration on the same site in the same session for a Medicare patient, you should report:
- 38221 -quot; Bone marrow; biopsy, needle or trocar
- G0364 -quot; Bone marrow aspiration performed with
bone marrow biopsy through the same incision on the
same date of service.
If the oncologist performs a bone marrow aspiration only, you should report 38220 (Bone marrow; aspiration only). And if the oncologist only takes a bone marrow biopsy, report 38221.
Caution: If the oncologist performs a bone marrow biopsy on one anatomic site or during one session, and a bone marrow aspiration on another site or during another session, you should report the following:
- 38221 for the biopsy
- 38220 for the aspiration
- modifier 59 (Distinct procedural service) with 38220 to show that the aspiration was a separate procedure (separate anatomic site or different patient encounter) from the biopsy.