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Powered bone marrow biopsy needle

HCPCS code

Powered Bone Marrow Biopsy Needle (C1830)

Name of the Procedure:

  • Common Name: Powered Bone Marrow Biopsy
  • Technical Term: Powered Bone Marrow Aspiration and Biopsy using C1830 Needle

Summary

A powered bone marrow biopsy is a procedure where a special motorized needle (C1830) is used to collect a sample of bone marrow. The procedure helps diagnose blood disorders and other medical conditions affecting the bone marrow.

Purpose

  • Medical Conditions: Diagnoses blood cancers, anemias, bone marrow disorders, and infections.
  • Goals: To obtain a high-quality bone marrow sample for detailed examination and accurate diagnosis.

Indications

  • Unexplained anemia
  • Abnormal blood counts
  • Suspected blood disorders like leukemia or lymphoma
  • Monitoring progression or response to treatment of bone marrow-affecting illnesses

Preparation

  • Pre-procedure Instructions: Patients may be advised to fast for a few hours, depending on anesthesia. They might need to adjust or discontinue certain medications.
  • Diagnostic Tests: Blood tests, imaging studies, and medical history review.

Procedure Description

  1. The patient is positioned comfortably, typically lying on their side.
  2. Local anesthetic is administered to numb the biopsy area, often the hip bone.
  3. A small incision is made, and the powered biopsy needle (C1830) is inserted into the bone.
  4. The motorized needle extracts a sample of the bone marrow with precision.
  5. The needle is removed, and the incision site is bandaged.

Duration

The procedure typically takes around 30 minutes.

Setting

  • Hospital
  • Outpatient Clinic
  • Surgical Center

Personnel

  • Hematologist/Oncologist
  • Nurse
  • Possibly an Anesthesiologist (if sedation is required)

Risks and Complications

  • Common Risks: Pain at the biopsy site, bleeding, and bruising.
  • Rare Risks: Infection, allergic reactions to anesthetics, prolonged bleeding, damage to nearby tissues.

Benefits

  • Expected Benefits: Accurate diagnosis of bone marrow conditions, leading to appropriate treatment plans.
  • Timeframe: Diagnostic results typically available within a few days to a week.

Recovery

  • Post-procedure Care: Keep the biopsy site clean and dry, follow pain management guidance, and avoid strenuous activity for a few days.
  • Recovery Time: Most patients resume normal activities within 1-2 days.
  • Follow-up: Scheduled to discuss biopsy results and next steps.

Alternatives

  • Peripheral blood tests (less invasive but might be less comprehensive).
  • Imaging studies (like MRI or PET scans) can provide additional context but do not replace biopsy.
  • Bone marrow biopsy using manual needles (similar results but may be more uncomfortable).

Patient Experience

  • During the Procedure: Initial discomfort during local anesthesia administration, minimal pain due to numbing.
  • After the Procedure: Mild soreness at the biopsy site, manageable with over-the-counter pain medication and rest.
  • Comfort Measures: Sedation options available if patients are anxious or uncomfortable.

This markdown provides a comprehensive look into the powered bone marrow biopsy procedure with the C1830 needle, outlining all the essential details for patients and healthcare providers.

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