Chap 17- Hematic, Lymphatic, Mediastinum, & Diaphragm

• 1. SPLEEN
• 2. LYMPH NODES
• 3. BONE MARROW

• 1. EXCISION
• 2. REPAIR
• 3. LAPAROSCOPY
• 4. INTRO

• 1.TOTAL
• 2. PARTIAL
• 3.

• 1. SPLEEN
• 2. GENERAL
• 3. LYMPH NODES/LYMPHATIC CHANNELS

Code: 38220

- Procedure in which a sample of the bone marrow is taken by means of a needle that is inserted in/2 the marrow cavity.

-Marrow is taken from the iliac crest, pelvic bone, or sternum.

Code: 38221

- Procedures in which small pieces of the marrow R obtained by means of a needle or trocar.

Code: 38230

- Procedure in which a large amt of marrow is aspirated frm a donor by means of a large aspiration needle.

- The marrow is then transplanted into the recipient pt.

* Procedure in which the donor bone marrow or stem cells are injected in/2 the pt.

* The preparation & storage of the cells "prior 2 transplantation" or "infusion" are reported w/codes frm: 32807 - 38215

• ** Bone marrow is from the same species (human), such as a cadaver, a close relative, or a non/related donor.
• * Testing is done 2 determine a close genetic match 4 the recipient

* Bone marrow is collected frm the pt, processed, & later transplanted or reinfused into the pt.

* Is the coll of stem cells frm the blood sys through a process termed apheresis

• * A needle is placed into the vein in 1 armm of the donor & the blood is removed & filtered in order 2 remove the stem cells.
• * This process takes 4-6 hrs & is usually completed in 2 sessions
• * The harvesting & retrun of the blood 2 the donor (replanation) is reported w/cd's: 38205 - 38206