The procedure and possible complications were explained to the patient and written informed consent obtained. REASON FOR STUDY: C34.12: MALIGNANT NEOPLASM OF UPPER LOBE, LEFT BRONCHUS OR LUNG, C79.31:
CPT CODE FOR LEFT AXILLARY SENTINEL LYMPH NODE BIOPSY CODE
Sample Code chart of Lymph node biopsy CPT code 38505 & 38500ĮXAM: US LYMPH NODE CORE BIOPSY SUPERFICIAL This code cannot be billed with more extensive lymphadenectomy codes or any of the radical vulvectomy codes that already incorporate lymph node dissection (i.e. It can be billed at the time of a radical vulvectomy or as a subsequent separate procedure. The new CPT code 38531 is intended to be used with the 38900 add on code, can be billed for just unilateral lymph nodes or used twice for bilateral lymph nodes. CPT code 38531 (biopsy or excision of lymph node(s) open, inguinofemoral node(s)) was created as an intermediate code between a simple open biopsy of the lymph node (CPT code 38500) and more complex total lymph node dissections. Cannot be billed with more extensive lymphadenectomy codes or any vulvectomy codes that already incorporate lymph node dissection (i.e., 38760, 38765, or 56631-56640).Ī new code has also been added that allows us to properly bill for the work performed during a groin dissection for sentinel lymph node biopsy.Can be billed at the time of a radical vulvectomy or as a subsequent separate procedure.For example in an endometrial cancer case, correct billing of 38570 Laparoscopy, surgical with retroperitoneal lymph node sampling (8.49 wRVU) + 38900 (2.50 wRVU x 2) = 13.49 wRVUģ8531 Biopsy or excision of lymph nodes, open inguinofemoral node.Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure) 77012-59: CT guidance biopsy (axillary node)ĬPT code + 38900 (Intraoperative identification (e.g., mapping) of sentinel lymph nodes) and a new code for vulvar SLN mapping 38531 (Biopsy or excision of lymph nodes, inguinofemoral node) are added from Jan.38505-59: Needle biopsy superficial lymph node (core biopsy axillary node).10005: FNA using US guidance (FNA cervical node).FNA biopsy is performed on a cervical lymph node using US guidance, and a core biopsy is performed on an axillary lymph node using CT guidance. Read also: Best coding tips for Sentinel Lymph node injectionĮxample. If a FNA biopsy is performed on one lesion and a core biopsy is performed on a separate lesion using the same imaging guidance modality, the image guidance is reported for both lesions, appending modifier 59 to the imaging guidance code for the core biopsy.ĭo use imaging guidance CPT code 76942, 77002, 77012, 77021 along with lymph node biopsy CPT codes. When both Core biopsy and FNA are perfromed, then check the documentation to code them together.
Below are the list of imaging guidance codes used along with CPT code 38505ĭo and Don’t with Procedure code 38505 & 38500ĭo not use CPT code 38505 & 38500 when Fine needle aspiration (FNA) is performed, use CPT code 10021 & 10022 for coding FNA. Imaging guidance should be reported separately. Read also: When to use Secondary Z codes in ICD 10 Description of CPT code 38505 & 38500 for lymph node biopsyģ8505– Biopsy or excision of lymph node(s) by needle, superficial (eg, cervical, inguinal, axillary) Some of them have even bundled imaging guidance CPT codes as well.įor needle biopsy of lymph node, CPT code 38505 is reported and for open superficial lymph node biopsy, CPT code 38500 is reported. We have separate biopsy procedure code for lung, breast biopsy, thyroid, bone biopsy etc. CPT code 38505 & 38500 are used for coding lymph node biopsy in medical coding. The lymph nodes are small glands that make white blood cells (lymphocytes), which fight infection. Lymph nodes may trap the germs that are causing an infection. Description of CPT code 38505 & 38500 for lymph node biopsyĪ lymph node biopsy is the removal of lymph node tissue for examination under a microscope.
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