Question:

What codes should be reported if a bone biopsy is performed for evaluation of bone matrix structure?

Answer:

The following are the appropriate codes to report, according to the National Correct Coding Initiative Policy Manual for Medicare Services:

20220 Biopsy, bone, trocar, or needle; superficial (e.g., ilium, sternum, spinous process, ribs)
88307 Level V—surgical pathology, gross and microscopic examination

This question was answered in the January edition of our Laboratory Compliance Manager. For more hot topics relating to laboratory services, please view our store, or call us at 1.800.252.1578 ext. 2.

Facebook
Twitter
LinkedIn

CPT® copyright 2025 American Medical Association (AMA). All rights reserved.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.

Celebrate Lab Week with MedLearn! Sign up to win one year of our Laboratory All Access Pass! Click here to learn more →

This Memorial Day, we honor those who gave all for our freedom. Take 20% off sitewide through May 29 with code MEMORIAL26 at checkout

CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 1 with code CYBER25

CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24