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The procedure described by CPT® Code 20225 refers to a biopsy of deep bone structures, such as the vertebral body or femur, using a trocar or needle. This procedure is typically performed under local anesthesia, although general anesthesia may be utilized in certain cases. The primary objective of this biopsy is to obtain a tissue sample from the bone for diagnostic purposes. During the procedure, a large needle is initially inserted into the spinous process or a superficial area of the bone to facilitate access. Following this, an exploration needle is positioned to guide the process, and a smaller needle is then inserted through the exploration needle to collect the bone tissue sample. This technique allows for precise targeting of deep bone areas, which may be necessary for diagnosing various conditions affecting the bone. Importantly, the procedure usually does not require closure of the site after the biopsy is completed, simplifying the post-procedure care and recovery process.
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