0 code page views remaining today. Guest accounts are limited to 2 daily page views. Register free account to get more views.
Log in Register free account
CPT®
0901T

CPT® Code 0901T

Official Description

Placement of bone marrow sampling port, including imaging guidance when performed

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The procedure described by CPT® Code 0901T involves the placement of a bone marrow sampling port, which is a specialized device used to facilitate the extraction of bone marrow fluid and tissue. Bone marrow sampling is typically performed on the posterior superior iliac crest, which is the upper part of the hip bone located at the back. This site is preferred due to its accessibility and the absence of major blood vessels or nerves, minimizing the risk of complications. However, bone marrow samples can also be obtained from alternative sites such as the front of the iliac crest, the humerus (the upper arm bone), the calcaneus (the heel bone), or the tibia (the shin bone). The ideal specimen for bone marrow analysis includes both a liquid aspirate, which is the fluid component, and a solid sample that contains the bone and marrow. The procedure begins with the administration of a local anesthetic to numb the area at the sampling site after it has been properly marked and cleansed to reduce the risk of infection. A small incision is made to allow for the insertion of a special hollow needle, which is guided through the bone, often with imaging assistance to ensure accuracy. A syringe attached to this needle is then used to aspirate a small volume of bone marrow liquid. Following this, a larger needle is employed to obtain a biopsy sample, which consists of a small piece of bone along with the marrow. After the samples are collected, the needle is withdrawn, pressure is applied to the site to control any bleeding, and the area is subsequently bandaged to promote healing.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The placement of a bone marrow sampling port is indicated for various clinical scenarios where bone marrow analysis is necessary. The following conditions may warrant this procedure:

  • Bone Marrow Disorders - Conditions such as leukemia, lymphoma, or multiple myeloma that require evaluation of the bone marrow for diagnosis or treatment monitoring.
  • Anemia - Investigation of unexplained anemia to determine if it is due to bone marrow failure or other hematological disorders.
  • Infection - Assessment of suspected bone marrow infections or conditions like osteomyelitis that may affect the marrow.
  • Metastatic Disease - Evaluation of suspected metastatic cancer that may involve the bone marrow.

2. Procedure

The procedure for placing a bone marrow sampling port involves several critical steps to ensure accurate sampling and patient safety. The following steps outline the process:

  • Step 1: Preparation - The patient is positioned comfortably, and the skin over the chosen sampling site, typically the posterior superior iliac crest, is marked and cleansed with an antiseptic solution to minimize the risk of infection.
  • Step 2: Anesthesia - A local anesthetic is injected into the skin and underlying tissues at the sampling site to ensure the patient experiences minimal discomfort during the procedure.
  • Step 3: Incision - A small incision is made at the marked site to facilitate the insertion of the needle.
  • Step 4: Aspiration - A special hollow needle is carefully inserted through the bone, often with the aid of imaging guidance to ensure proper placement. A syringe is attached to the needle, and a small amount of bone marrow liquid is aspirated for analysis.
  • Step 5: Biopsy - Following the aspiration, a larger needle is introduced to obtain a biopsy sample, which includes a small piece of bone along with the marrow. This step is crucial for obtaining a solid specimen for further examination.
  • Step 6: Closure - After the samples are collected, the needle is removed, and pressure is applied to the site to control any bleeding. The area is then bandaged to protect it and promote healing.

3. Post-Procedure

After the placement of the bone marrow sampling port, patients are typically monitored for any immediate complications, such as bleeding or infection at the site. It is important to provide post-procedure care instructions, which may include keeping the site clean and dry, monitoring for signs of infection, and avoiding strenuous activities for a specified period. Patients may experience some discomfort or bruising at the site, which is generally manageable with over-the-counter pain relief. Follow-up appointments may be scheduled to discuss the results of the bone marrow analysis and any further necessary interventions.
Short Descr PLMT BONE MARROW SMPLG PORT
Medium Descr PLACEMENT BONE MARROW SAMPLING PORT W/IMG GDN
Long Descr Placement of bone marrow sampling port, including imaging guidance when performed
Status Code Carriers Price the Code
Global Days YYY - Carrier Determines Whether Global Concept Applies
PC/TC Indicator (26, TC) 0 - Physician Service Code
Multiple Procedures (51) 2 - Standard payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 1 - Statutory payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62) 0 - Co-surgeons not permitted for this procedure.
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Non-Covered Service, not paid under OPPS
Berenson-Eggers TOS (BETOS) none
MUE Not applicable/unspecified.
Date
Action
Notes
2025-01-01 Added Code Added.