CPT^® 38746, Under Radical Lymphadenectomy (Radical Resection of Lymph Nodes)

The Current Procedural Terminology (CPT^®) code 38746 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

In this add on procedure, the provider incises the chest and removes thoracic and mediastinal lymph nodes. He commonly removes the lymph nodes for cancer of the breast, lung, or chest wall. The provider performs this procedure along with another primary procedure.

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Therapeutic Wedge Resection with Paratracheal Lymph Node Removal

Does anyone append mod 52 if only one lymph node was removed? I was told to do this in the past. Does it matter how many lymph nodes are removed when billing 38746? Patient had a therapeutic wedge re... [ Read More ]

mini thoracotomy

[QUOTE="TWilliam2019, post: 450703, member: 117131"]Procedure: 1. Video thoracoscopy with mini-thoracotomy, Left 2. Left lung biopsy 3. Left pleural biopsy 4. Mediastinal lymph node dissection, Le... [ Read More ]

mini thoracotomy

Procedure: 1. Video thoracoscopy with mini-thoracotomy, Left 2. Left lung biopsy 3. Left pleural biopsy 4. Mediastinal lymph node dissection, Left 32609 32674 vs 32097 38746 vats are my weakness ... [ Read More ]

38746 but only Mediastinal Lymph Nodes Removed

Can 38746 be billed when only mediastinal lymph notes are removed? There is no documentation of "regional lymph nodes" being removed. Only 4R, 10R, 11R & 7R. Is modifier 52 warranted here? Thanks!... [ Read More ]

Left lower lobectomy with bronchial / muscle flap repair

You might want to look at 32486....which is the lobectomy with resection of segment of the bronchus... From what I'm reading that sounds more appropriate but I would query your physician if possible.... [ Read More ]

Left lower lobectomy with bronchial / muscle flap repair

Looking for some advice on the following op report: SALIENT OPERATIVE FINDINGS: Bronchoscopy revealed tumor extending out of superior segment of the lower lobe, but it did not protrude as hig... [ Read More ]

Rusty on CT surgery

OPERATIONS: 1. Mediastinoscopy. 2. Left thoracotomy. 3. Left lower lobectomy. 4. Resection of chest wall mass. DESCRIPTION OF PROCEDURE: While in supine position, the neck was extended. The anterior... [ Read More ]

38746 Thoracic lymphadenectomy

[b]more questions on thorax lymph[/b] My physician opened the patient for a CABG and found a thumb head sized lymph node and excised it for path. I need help on how to code it. 38746 does not list ... [ Read More ]

38746 Thoracic lymphadenectomy

[b]Thoracic Lymphadenectomy[/b] [QUOTE="AMBarber, post: 95071, member: 1876"]That was my take on it too, thanks Lisi![/QUOTE] I know this is a super old thread, but I'm just learning Surgical Pulmon... [ Read More ]

Open Lobectomy with lymph node dissection

If the physician dissects the R4 Lymph node during the lobectomy would that qualify to use CPT 38746 or would it be incidental?... [ Read More ]

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