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There have been
significant changes to procedure codes for bone marrow procedures
and related services. Following are the code revisions for this
section:
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38220
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Bone
marrow; aspiration only
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38221
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Bone
marrow; biopsy, needle or trocar
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New
codes added to this section for 2003 include:
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38204
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Management
of recipient hematopoietic progenitor cell donor search and cell
acquisition
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38205
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Blood-derived
hematopoietic progenitor cell harvesting for transplantation, per
collection; allogenic
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38206
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Blood-derived
hematopoietic progenitor cell harvesting for transplantation, per
collection; autologous
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38207
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Transplant
preparation of hematopoietic progenitor cells; cryopreservation and
storage
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(For
diagnostic cryopreservation and storage, see 88240)
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38208
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Transplant
preparation of hematopoietic progenitor cells; thawing of previously
frozen harvest
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(For
diagnostic thawing and expansion of frozen cells, see 88241)
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38209
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Transplant
preparation of hematopoietic progenitor cells; washing of harvest
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38210
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Transplant
preparation of hematopoietic progenitor cells; specific cell
depletion within harvest, T-cell depletion
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38211
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Transplant
preparation of hematopoietic progenitor cells; tumor cell depletion
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38212
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Transplant
preparation of hematopoietic progenitor cells; red blood cell
removal
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38213
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Transplant
preparation of hematopoietic progenitor cells; platelet depletion
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38214
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Transplant
preparation of hematopoietic progenitor cells; plasma (volume)
depletion
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38215
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Transplant
preparation of hematopoietic progenitor cells; cell concentration in
plasma, mononuclear, or buffy coat layer
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38242
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Bone
marrow or blood-derived peripheral stem cell transplantation;
allogenic donor lymphocyte infusions
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A deleted code in
this section is 38231 (blood-derived peripheral stem cell harvesting
for transplantation, per collection), and the coder is redirected to
38205 or 38206 to report this service.
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There has also
been a verbiage change to the existing pump refill code and the
addition of a new code to clarify whether the medication is
administered through the vascular system, or the central nervous
system. Effective January 1, 2003 these code descriptors read:
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96530
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Refilling
and maintenance of implantable pump or reservoir for drug
delivery, systemic (eg, intravenous, intra-arterial)
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95990
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Refilling and
maintenance of implantable pump or reservoir for drug delivery,
spinal (Intrathecal, epidural) or brain (intraventricular)
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Remember that
even though the diagnosis code changes are officially effective
October 1 and procedure code changes effective January 1, 2003, not
all payors will accept these codes in that time frame. Certain
payors, such as some Medicaid or Worker’s Compensation plans, may
require additional time to update their computer systems and
recognize these coding changes and additions.
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