G0364 with procedure code of 38221
I recently came across an edit from our MAC that I've never seen before: G0364 is an add-on code requiring a primary procedure code of 38221. We are having a discussion in our facility whether G0364 should be inclusive of both the bone marrow biopsy and the bone marrow aspiration done through same site, same incision, same date vs. coding G0364 secondary to the 38221 bone marrow biopsy at the same site, same incision, same day. AHA Coding Clinic, 2012 Q3, “Bone Marrow Aspiration” states that G0364 represents the bone marrow aspiration procedure when it is performed with a bone marrow biopsy through the same incision, same date of service and both codes should be reported. I can’t find any guidance from Medicare regarding this edit.
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