38222

Dx bone marrow bx & aspir

Add to my model
Code typePrimary
Payment statusActive (A)
Global periodNone

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary38222Dx bone marrow bx & aspir
1
$177.02
$62.46
Add-on77002Needle localization by xray
0
$121.25/ unit
$121.25/ unit
Whole procedure · 1.40 wRVU credited
$177.02
$62.46

RVU Breakdown

Component
Office
Facility
Work
1.40
1.40
Practice expense
3.77
0.34
Malpractice
0.13
0.13
Total RVU
5.30
1.87

Payment Policy & Modifiers

Allowed adjustments
Bilateral -50150%
With modifier 50 (both sides), payment is 150% of the single-side amount. $265.53 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