Advanced Search

Otolaryngology Coding Alert

You Be the Coder:

What's the Code for Central Neck Dissection?

Published on Sun Jun 07, 2009

Question: How do you code a level 6 neck dissection, also known as a central neck dissection? Massachusetts Subscriber Answer: The most accurate code for this is 38999 (Unlisted procedure, hemic or lymphatic system). Central compartment neck dissection refers to the bilateral removal of lymph nodes surrounding the midline visceral structures of the anterior neck. The lymph nodes include the pre- and paratracheal, pre-cricoid and perithyroidal. The upper limit of the dissection is the hyoid bone; the lower limit is the suprasternal notch; and the lateral limits are the carotid arteries. Consider this: Another possibility is 38724-52 (Cervical lymphadenectomy [modified radical neck dissection]). You'd append modifier 52 (Reduced services) because 38724 is a more extensive procedure - it means removal of all lymph nodes from the neck. You might suggest this coding as a comparison for fee selection when you submit 38999. It's always a good idea to spell out [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Otolaryngology Coding Alert

View All