85097 Bone marrow interpretation
Also known as: bone marrow interpretation, BM review, marrow pathology
Microscopic interpretation and morphologic assessment of bone marrow aspirate or biopsy specimen by pathologist, including cellularity, differential counts, dysplasia, and neoplastic evaluation.
In Plain Language
bone marrow analysis; expert marrow review
Clinical Context
Essential for hematologic malignancy diagnosis, assessment of marrow function in cytopenias, and evaluation of marrow involvement in systemic diseases.
RVU Breakdown
| Work RVU | 0.92 |
| Total RVU | 0.92 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
Lab and pathology codes require an order from the treating provider with clinical indication. For molecular pathology and genetic testing, document the specific analytes tested and clinical rationale.
How This Code Compares
With a work RVU of 0.92, this code ranks in the 76th percentile among Pathology & Lab codes — 1.4x the median (0.68). The highest wRVU in this category is 2.78.
Specialties
Frequently Asked Questions
What is CPT code 85097?
CPT 85097 (Bone marrow interpretation) is a Pathology & Lab code. Microscopic interpretation and morphologic assessment of bone marrow aspirate or biopsy specimen by pathologist, including cellularity, differential counts, dysplasia, and neoplastic evaluation.
Who uses CPT code 85097?
CPT 85097 is used by Clinical Pathology, Hematology, Oncology. Essential for hematologic malignancy diagnosis, assessment of marrow function in cytopenias, and evaluation of marrow involvement in systemic diseases.
When is CPT 85097 used?
Essential for hematologic malignancy diagnosis, assessment of marrow function in cytopenias, and evaluation of marrow involvement in systemic diseases.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.