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Bone Biopsy and Marrow Aspiration

Date: Oct 25, 2023

Question:

Our radiologists are sometimes doing a bone marrow aspiration along with a bone lesion biopsy. The patient is scheduled for a bone biopsy for FDG avid lesion (20220 or 20225), but during the biopsy he also does a bone marrow aspiration at the same site. Should this be charged/coded as 38222 or 20220/20225 based on the indication of bone lesion?

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