Diagnostic bone marrow; biopsy(ies) and aspiration(s)
CPT4 code
Name of the Procedure:
Diagnostic Bone Marrow Biopsy and Aspiration
Summary
In a bone marrow biopsy and aspiration, doctors use a needle to take small samples of bone marrow tissue and fluid from your bone. This helps diagnose various blood disorders and diseases. The procedure is typically done with local anesthesia to minimize discomfort.
Purpose
Bone marrow biopsies and aspirations are performed to diagnose or monitor blood diseases and bone marrow abnormalities. This includes conditions such as leukemia, lymphoma, multiple myeloma, and certain anemias. The ultimate goal is to obtain a sample to analyze the health and function of your bone marrow cells.
Indications
The procedure may be indicated if you show symptoms like unexplained anemia, abnormal blood cells, or abnormal results from other blood tests. It is also performed if you have been diagnosed with a blood-related condition and regular monitoring is required.
Preparation
You may need to stop taking certain medications like blood thinners before the procedure. Usually, you will not need to fast. The doctor may recommend a blood test to check your overall health and clotting status.
Procedure Description
- Anesthesia: Local anesthesia is applied to numb the area, often the hip bone.
- Preparation: The skin is cleaned and sterilized.
- Aspiration: A special needle is inserted through the skin into the bone marrow to draw out a fluid sample.
- Biopsy: The needle is used to obtain a small, solid sample of bone marrow tissue.
- Completion: The needle is removed, and pressure is applied to the site. A bandage is placed over the puncture site.
Duration
The entire procedure typically takes about 30 minutes to 1 hour.
Setting
The procedure is usually performed in a hospital, outpatient clinic, or specialized diagnostic center.
Personnel
A hematologist or oncologist commonly performs the procedure, often assisted by a nurse or medical technician.
Risks and Complications
Common risks include localized pain, bleeding, and bruising at the biopsy site. Rare risks include infection, prolonged bleeding, or accidental injury to nearby tissues. These complications are generally manageable with medical intervention.
Benefits
The primary benefit is accurate diagnosis and monitoring of bone marrow-related conditions, which can lead to timely and appropriate treatment. Results are typically available within a few days to a week.
Recovery
You may experience soreness for a day or two at the biopsy site. Over-the-counter pain relief may be recommended. There are usually no major activity restrictions, but it’s advisable to avoid strenuous activities for at least 24 hours. Follow-up appointments may be scheduled to discuss results and plan further treatment if needed.
Alternatives
Alternatives may include blood tests or imaging studies, but these are often less definitive for diagnosing bone marrow disorders. Each alternative has its own pros and cons, which should be discussed with your healthcare provider to determine the most appropriate course of action.
Patient Experience
During the procedure, you may feel pressure or a sharp pain briefly when the needle penetrates the bone. Post-procedure, mild soreness or discomfort is common but manageable with pain medications. Breathing and relaxation techniques can help make the process more comfortable.