CPT^® 38740, Under Radical Lymphadenectomy (Radical Resection of Lymph Nodes)

The Current Procedural Terminology (CPT^®) code 38740 as maintained by American Medical Association, is a medical procedural code under the range - Radical Lymphadenectomy (Radical Resection of Lymph Nodes).

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Summary

The provider excises the superficial lymph nodes in the armpit area below the axillary vein, but not lymph nodes buried deep beneath the layers of muscle. The provider commonly removes the axillary lymph nodes for cancer in the breast or chest.

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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 ]

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 ]

Need help!! Coding CPT 38972

[b]2019 update[/b] Since I posted this answer in 2017 & I know people often reference previous posts, I thought it important to update my answer. 38900 add on code is now billable with 38570-38572 fo... [ Read More ]

Billing 38900 Intraoperative sentinel Node mapping for gyn onc

Late to answer, but I was updating a previous post from 2017 regarding this & saw your related question. In 2018, we used 38999 for the ICG sentinel lymph node mapping. I'm very pleased that as of 2... [ Read More ]

Need help!! Coding CPT 38972

[b]Welcome to unlisted codes[/b] I think you had a typo and meant 38792 (not 38972), but regardless, that is unfortunately not the correct code as it is not a radioactive tracer. 38900 exactly preci... [ Read More ]

38525 vs 38740/38745

Which code? 38525 or 38740? I think it might be 38740 however the surgeon doesn't mention the axillary vein. Thoughts please... We placed a transverse 3 to 4 cm left axillary incision, dissected... [ Read More ]

axillary sentinel node biopsy/excision

I'd suggest to code for it with modifier -58. The biopsy was the reason for the more extensive procedure. You will use the reason you went to the OR for the DX (Mass?) on 38500 than the definitive D... [ Read More ]

38792 vs 38900

38900 is a new code for 2011. Now we have two choices. We have to default to 38792 if 38900 is not a "PX" of the reporting CPT code. Here are the PrimaryPX to 38900. So everything in between like 193... [ Read More ]

19103 one incision 2 biopsies

yes mam i agree and wish it were so at our practice. the doctors coe their own procedures for the office and the facility. the front desk staff at the 3 offices we have do not question the doctors. oc... [ Read More ]

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