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Question:
Is there a good reference regarding what designates deep versus superficial bone biopsy? The code descriptions give some examples but other bones I’m not sure about.
Answer:
Clinical Examples in Radiology, Fall, 2010 indicated that “These examples make the distinction that if the sampled bone is palpable from outside the body (e.g., the ilium, sternum, spinous process, ribs), the code for a superficial bone biopsy (20220) should be selected.”
| 20220 | Biopsy, bone, trocar, or needle; superficial (e.g., ilium, sternum, spinous process, ribs) |
| 20225 | Biopsy, bone, trocar, or needle; deep (e.g., vertebral body, femur) |
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