Bone Marrow Aspirate for Grafting

March 12, 2015

Our surgeon performed a bone marrow aspirate from the iliac crest when performing a spinal fusion. The surgeon gave me CPT code 38230, but I am wondering if this is correct. Can you illuminate this for me?

While the aspiration of bone marrow is separately reportable, CPT code 38230 is not the correct code. This code describes the aspiration of bone marrow for transplantation, such as in a bone marrow transplant in an immunosuppressed patient. The correct code, when the aspirate is harvested from a separate surgical site via a separate incision for the intent of a fusion is CPT code 38220, Bone marrow; aspiration only. Append modifier 59 to indicate current procedure service.

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