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