CPT^® 38571, Under Laparoscopic Procedures on the Lymph Nodes and Lymphatic Channels

The Current Procedural Terminology (CPT^®) code 38571 as maintained by American Medical Association, is a medical procedural code under the range - Laparoscopic Procedures on the Lymph Nodes and Lymphatic Channels.

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Summary

The provider makes small incisions and inserts a camera into the abdomen to view the lymph nodes. He excises all lymph nodes on both sides of the pelvis. This procedure is done to remove any diseased lymph nodes and prevent cancer from spreading further.

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Robot assisted laparoscopic cystectomy w/bilateral lymphadenectomy Robotic intra-corporeal Ileal conduit urinary diversion-51999 benchmarked to 51595

Another method of billing for this scenario would be 51999 and bench marked to 51590 and add 38571 for the bilateral pelvic node resection as well as 55866 for the radical prostatectomy.... [ Read More ]

extended pelvic lymphadenectomy

Hi! Doctor did a radical laparoscopic prostatectomy with total pelvic lymphadenectomy. 55866, 38571. Now the patient has elevated PSA again, and so doctor did an extended pelvic lymphadenectomy, lapar... [ Read More ]

Excision of pubic tubercle

I need help for a CPT code for this. My provider did a robotic radical prostatectomy, bilateral pelvic lymph node dissection, and excision of pubic tubercle (partial). He identified that is was touchi... [ Read More ]

yCPT code 51597

Because a true pelvic exenteration also includes removal of the uterus, tubes and ovaries as well as removal of the anus, rectum, and part of the sigmoid colon (not reported), I would suggest the foll... [ Read More ]

Laparoscopic nephroureterectomy with bladder cuff, regional lymphadenectomy?

Hi! How would you code this? The provider suggested 50548 and 51703, but I'm wondering if there's a way to bill for the laparoscopic removal of the bladder cuff and lymph nodes? Perhaps with the addit... [ Read More ]

Ureterectomy with ureteral reimplant and Boari flap w/ left pelvic lymph node dissection?

Thank you for your response. I thought 38571 is a laparascopic procedure, wouldn't 38770 be more accurate since this was open? Thank you for your help!... [ Read More ]

Ureterectomy with ureteral reimplant and Boari flap w/ left pelvic lymph node dissection?

I would suggest the following coding for your clinical scenario: 50785 38571-52 All other codes are bundled or included in 50785... [ Read More ]

Robotic low anterior resection with takedown of splenic flexure. Pelvic and abdominal lymphadenectomy

depends on location if scope is in retro-peritoneal space then 38570 if documentation mentions iliac vein, hypo-gastric, or obturator then 38571 [URL unfurl="true"]https://www.urologytimes.com/view/... [ Read More ]

38570 or 38571 Pelvic Sentinel lymph nodes.

[B]Hello Coding Community! :) I need your help and I will greatly appreciate your assistance in the case below. Thank you![/B] My question is do we bill 38570 for sentinel nodes or 38571-for pelvic ly... [ Read More ]

Robot assisted laparoscopic cystectomy with bilateral lymphadenectomy and Ileal conduit urinary diversion - CPT code

Your coding is not correct. Bench mark the 51999 to 51570, an open total cystectomy, and also bill for an open ileal conduit with 50820-50 as reported in the operative report. Some carriers will inclu... [ Read More ]

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