Oncology & Hematology Coding Alert

You Be the Coder:

Differentiate Bone Marrow Harvesting and Sampling

Question: How can we report bone marrow harvesting? Do the codes for bone marrow sampling apply to bone marrow harvesting?

Ohio Subscriber

Answer: When your physician harvests stem cells from the bone marrow, you submit code 38230 (Bone marrow harvesting for transplantation; allogeneic) or 38232 (Bone marrow harvesting for transplantation; autologous), depending upon the allogeneic or autologous sites of harvest.

Bone marrow sampling is different: Be sure not to report this service using codes for diagnostic bone marrow sampling, such as aspiration or biopsy. Hence, you should not report codes 38220 (Bone marrow; aspiration only) or 38221 (Bone marrow; biopsy, needle or trocar).