CPT code 38222: Bone marrow exam, aspiration and biopsy2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $173.61 for 38222 in the office and $60.99 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 38222 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 38222 covers

This code covers obtaining a bone marrow aspirate and a core biopsy for diagnostic evaluation during the same session. Hematologists, oncologists, and other qualified clinicians commonly perform the sampling, often from the posterior iliac crest, in an office procedure room, hospital, or outpatient facility. The samples can help evaluate unexplained anemia or other cytopenias, suspected marrow disorders, and hematologic malignancies.

Report this code when both aspiration and biopsy are performed; use 38220 for aspiration alone and 38221 for biopsy alone. Document the indication, sampling site or sites, and performance of both techniques. CMS applies the standard multiple procedure reduction when applicable procedures are performed in the same session: the highest-valued procedure is paid in full and other procedures at 50%. For a bilateral procedure reported with modifier 50, CMS pays 150%.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Virginia compares for 38222

Across 109 of 109 payment localities, the office rate for 38222 runs from $157.16 in Arkansas to $235.81 in San Benito County, CA. Virginia pays $173.61. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

38222 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 38222 in every payment locality

How the 38222 rate is calculated

Each of 38222’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 38222

The CMS indicators that decide how 38222 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 38222

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 38222 has changed in Virginia

Price 38222 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates