CPT^® 38780, Under Radical Lymphadenectomy (Radical Resection of Lymph Nodes)

The Current Procedural Terminology (CPT^®) code 38780 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 performs extensive surgical excision of the lymph nodes from the retroperitoneal area and throughout the abdomen. He also excises pelvic, aortic, and renal lymph nodes. The provider removes the pelvic, aortic, renal, and other lymph nodes in the lower abdomen for cancer in the lower abdomen.

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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 ]

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 ]

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 ]

nephroureterectomy

As for the nodes I don't have access to CPT Assistant for help. Looking at report and the desk ref states use 38564 if retroperitoneal Lymphadenectomy. Falls under Limited Falls under Radical 38780 ... [ Read More ]

nephroureterectomy

I'm looking at CPT 50234,38780.. Can I get some input on what you would select? thanks OPERATION PERFORMED: Laparoscopy, right nephroureterectomy (open single incision with bladder cuff) with r... [ Read More ]

Gyne/onc - Infrarenal Lymph node dissection

Dx: 183.2 Fallopian tube cancer I am looking for a CPT code for Infrarnal Lymph node dissection. I was told to use 38572 as it encompasses both the Aortic and Infrarenal Lymph nodes. Please assist m... [ Read More ]

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