The issue is resolved for 2018
For 2018:
38222 - Diagnostic bone marrow; biopsy(ies) and aspiration(s) will take care of this issue. Until then, 38220 is unbundled when reported with 38221 unless it is in an anatomically different site, etc.
2018: For CY 2018, the CPT Editorial Panel made the following changes to the family of codes for bone marrow aspiration: CPT codes 38220 and 38221 were redefined to reflect only bone marrow aspiration (38220) and bone marrow biopsy (38221) for diagnostic purposes. CPT 38222 was created to describe a diagnostic bone marrow procedure that bundles biopsy and aspiration into one code. Since CPT 38222 now accurately describe the services currently reported by G0364, CMS eliminated HCPCS code G0364 for CY 2018. A new add-on code 20939 was approved for coding bone marrow aspiration for spine surgery. This code will only be utilized for spine surgery procedures conducted by orthopedic surgeons and neurosurgeons doing spine autograft procedures. CPT 20939 describes harvesting bone marrow which involves performing a corticotomy, often with a trephine, in order to gain access to and withdraw the bone marrow, comprised of both hematogenous and trabecular bone tissue. The procedure requires targeting, confirmation of position, and retrieval/acquisition of bone marrow to mix with allograft. The base codes for 20939 include the following spinal fusion codes: 22319, 22532, 22533, 22534, 22548, 22551, 22552, 22554, 22556, 22558, 22590, 22595, 22600, 22610, 22612, 22630, 22633, 22634, 22800, 22802, 22804, 22808, 22810, and 22812. Source: CPT Editorial Summary of Panel Actions September-October 2016
2018: New code effective 01-01-2018