Explore our free mid-revenue cycle articles and webinars here.

Ask a Rev Cycle Expert: Coding for Superficial Versus Deep Bone Biopsy?

Question:

Would we report the CT guided bone biopsy for the inferior pubic ramus bone lesion with superficial or deep bone biopsy CPT® code? Would this be code 20220 or 20225?

Answer:

The inferior pubic ramus bone biopsy would be considered a deep bone, and Current Procedural Terminology (CPT®) code 20225 Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur) would be appropriate. According to guidance from the Clinical Examples in Radiology, Fall 2010, if the bone is palpable from outside the body, then the superficial code is selected. The inferior pubic ramus bone is not likely to be palpable from outside the body.

Disclaimer: This information was current at the time of its publishing and is designed to provide accurate information in regard to the subject matter covered. Vitalware does not accept any responsibility or liability with regard to any errors, omissions, misuses, or misinterpretation by the reader. It is not intended to take the place of either the written policies or regulations. We encourage you to review the specific regulations and other interpretive materials as necessary. All CPT® codes are trademarked by the American Medical Association (AMA) and all revenue codes are copyrighted by the American Hospital Association (AHA).