Urology Coding Alert

Reader Questions:

Turn to 38765 for Lymph Node Dissection

Question: My urologist performed a deep inguinal lymph node dissection. I can only find codes for superficial inguinal lymphadenectomy, but the doctor describes taking deep nodes as well. What code should I report?

Washington Subscriber

Answer: Report 38765 (Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes [separate procedure]) for this clinical scenario. This procedure code includes both a superficial and deep node resection.

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