Question:
How do you determine whether a bone biopsy would be considered superficial (20220) or deep (20225)?
Answer:
The long descriptions for codes 20220 and 20225 include examples of what would normally fit in the superficial (i.e., ilium, sternum, spinous process, ribs) or deep (i.e., vertebral body, femur) category. The bones listed are not exclusive, if a bone biopsy is performed in another area a good test might be whether the bone can be felt or if it must be found by guidance. When unsure, ask the physician whether they would consider it superficial or deep.
CPT® copyright 2024 American Medical Association (AMA). All rights reserved.
Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
CPT is a registered trademark of the American Medical Association.
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