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20225 Bone biopsy trocar/needle deep

Surgery Global 0d

Also known as: deep bone biopsy, bone marrow biopsy

Bone biopsy using needle or trocar technique to obtain deep bone marrow or trabecular bone sample. This procedure accesses deeper bone structures for diagnostic evaluation.

In Plain Language

taking a sample from deep inside bone

Clinical Context

Used to diagnose deep bone pathology, hematologic disorders, infections, or malignancy involving bone marrow or cancellous bone.

RVU Breakdown

Work RVU2.39
Total RVU2.39

Est. Medicare Payment

$79.83

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.

How This Code Compares

With a work RVU of 2.39, this code ranks in the 17th percentile among Surgery codes — 3.3x below the median (8.00). The highest wRVU in this category is 106.19.

Specialties

PathologyHematologyOrthopedic Surgery

Frequently Asked Questions

What is CPT code 20225?

CPT 20225 (Bone biopsy trocar/needle deep) is a Surgery code. Bone biopsy using needle or trocar technique to obtain deep bone marrow or trabecular bone sample. This procedure accesses deeper bone structures for diagnostic evaluation.

What is the wRVU value for CPT 20225?

The work RVU for CPT 20225 is 2.39. This code is primarily used by Pathology, Hematology, Orthopedic Surgery.

When is CPT 20225 used?

Used to diagnose deep bone pathology, hematologic disorders, infections, or malignancy involving bone marrow or cancellous bone.

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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.