CPT^® 38572, Under Laparoscopic Procedures on the Lymph Nodes and Lymphatic Channels

The Current Procedural Terminology (CPT^®) code 38572 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. The provider also inspects and removes the diseased lymph nodes in the aortic area. This procedure is done to remove any diseased lymph nodes and prevent cancer from spreading further.

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extended pelvic lymphadenectomy

I would consider 38572. It also appears that the initial pelvic node resection was incomplete and basically repeated.... [ 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.

For SENTINEL lymph nodes, 38570 is the correct code. Sometimes the nodes don't map and physician winds up doing a full 38572 but that is rather rare. From SGO: [URL]https://www.sgo.org/resources/c... [ Read More ]

ICG (Indocyanine green)

No experience with ICG during cholecystectomy, only for sentinel lymph node identification during hysterectomy. If you are performing it for sentinel lymph node identification, 38900 describes exactly... [ Read More ]

Para-aortic lymph node dissection

Benchmarking for an unlisted involves some discretion since the whole point is that there is no existing code. If there is an equivalent open procedure, that is what I benchmark. If I feel due to th... [ Read More ]

38570 vs 38571 Lap lymph node excision.

Dear Christine, Thank you for responding to my post. I also greatly appreciate any input from other professionals. Thank you. After reviewing the link, doing more research, I drew preliminary conclusi... [ Read More ]

38570 vs 38571 Lap lymph node excision.

Basically, whenever they are doing the sentinel mapping, 38570 is the correct code. Before that procedure was available, often all pelvic nodes that were identified were removed, which would be 38571... [ Read More ]

Can we code lymph mapping with Radical trachelectomy +pelvic lymphadenectomy?

[QUOTE]Hello coding community. Could you please help me with a question: [B]can we code lymph node mapping 38900 with 57531? [/B]Thank you very much in advance! :)[/QUOTE] Coding tips for 38900 in Enc... [ Read More ]

Billing 38900 Intraoperative sentinel Node mapping for gyn onc

You can only bill 38900 with one of the base codes 19302, 19307, 38500, 38510, 38520, 38525, 38530, 38531, 38542, 38562, 38564, 38570, 38571, 38572, 38740, 38745, 38760, 38765, 38770, 38780, 56630, 56... [ Read More ]

Prostatectomies

Simple vs Radical Prostatectomy Robotic radical prostatectomy 55866 Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed Rob... [ Read More ]

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