CPT^® 38747, Under Radical Lymphadenectomy (Radical Resection of Lymph Nodes)

The Current Procedural Terminology (CPT^®) code 38747 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 abdomen and removes the abdominal lymph nodes including the lymph nodes of the stomach and pancreas. He may also remove the lymph nodes near the aorta and vena cava. He commonly removes regional lymph nodes in the abdomen for cancer of the intestines, stomach, pancreas, or other organs or structures of the abdomen. The provider performs another primary procedure along with this procedure.

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Para-aortic lymph node dissection

If you follow the logic below, you could tell the provider if questioned. That you can't code the lymph node dissection based on this. But if you work around this, I'd like it to 38564. Per Medicare... [ 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 ]

Para-aortic lymph node dissection

My provider did a da vinci assisted laparoscopic nephrouretectomy, da vinci assisted laparoscopic para aortic lymph node dissection, and a cystoscopy with a stent removal. I am going to code this as 5... [ Read More ]

Billing 47711 and 38747 together

When is it ok to bill 47711 and 38747 together. There is a CCI edit, however, it is not clear as to when you can.... [ Read More ]

separate procedure

My provider performed pancreaticodudenectomy (cpt48150), paracelial lymph node dissection (cpt38747), transgastic feeding jejunostom tube (cpt44300) and omental flap (cpt49905). I am uncertain if it ... [ Read More ]

Add on code 38747 Bundling Issue

[b]mkgolliet[/b] Hello, I just found this thread when researching the same issue. According to 2018 NCCI guidelines, Chapter 5.E.2: CPT code 38747 (abdominal lymphadenectomy, regional, including cel... [ Read More ]

CPT 50230 and 38747

Hello - I have a provider that is performing an open radical nephrectomy with retroperitoneal lymph node dissection. My confusion is whether or not the lymph nodes that were dissected are included in ... [ Read More ]

Open Radical Nephrectomy and Retroperitoneal LN Dissection

Open procedure and Laproscopic - which codes?

[QUOTE="ltrue, post: 378014, member: 267848"]I came up with 48100 and 38747. Per AAPC Coder Lay Terms: "When the patient is appropriately prepped and anesthetized, the provider incises the abdomen.... [ Read More ]

Open procedure and Laproscopic - which codes?

[b]+38747[/b] I came up with 48100 and 38747. Per AAPC Coder Lay Terms: "When the patient is appropriately prepped and anesthetized, the provider incises the abdomen. The provider performs a prima... [ Read More ]

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