38221
Dx bone marrow biopsies
Code typePrimary
Payment statusActive (A)
Global periodNone
Pricing with Related Codes
Line
Qty
Global fee
Pro fee
Primary38221Dx bone marrow biopsies
1
$167.00
$57.78
Whole procedure · 1.25 wRVU credited
$167.00
$57.78
RVU Breakdown
Component
Office
Facility
Work
1.25
1.25
Practice expense
3.64
0.37
Malpractice
0.11
0.11
Total RVU
5.00
1.73
Payment Policy & Modifiers
Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. → $250.50 office.
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%. Add-on codes are exempt.
Assistant surgeon -80/81/8216% · documented
Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.
Not applicable to this code
Co-surgeon -62Team surgeon -66Prof / tech split