Urology Coding Alert

Question:Which is the correct code for a laparoscopic retroperitoneal lymph node dissection (periaortic and interaortocaval lymph nodes)?Texas SubscriberAnswer:You should report CPT 38589 (Unlisted laparoscopic procedure, lymphatic system) as there is no specific CPT® code for this laparoscopic procedure.When you submit an unlisted code you should always include a cover letter with your claim explaining that you have searched the 2012 active CPT® manual and found no specific code for the procedure your urologist performed, and therefore, you chose an unlisted procedure code. Use simple, straightforward language to explain exactly what the urologist did, and why an unlisted code fits best.Documentation tip: Ask your physicians to include information at the top of the operative note explaining the procedure and benchmarking it to a comparable procedure and its CPT® code to assist the payer in setting a reimbursement fee. You also can provide this information in your covering letter to the payer.The [...]