CPT^® 38792, Under Introduction Procedures on the Lymph Nodes and Lymphatic Channels

The Current Procedural Terminology (CPT^®) code 38792 as maintained by American Medical Association, is a medical procedural code under the range - Introduction Procedures on the Lymph Nodes and Lymphatic Channels.

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Summary

The provider injects a contrast, or radioactive tracer into the target tissues and massages the tissue to move the dye into the lymphatic system. He performs this procedure to identify the sentinel node, and locate any traces of tumor draining into the node. This service is most often done for melanoma or breast cancer.

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CPT 38792

Hi - Use of RT/LT and 50 can vary by payer. But if you mean does bilateral policy apply, then it does on the MPFS. 38792 has a bilateral indicator of "1," meaning "150% payment adjustment for bilatera... [ Read More ]

CPT 38792

Do you need RT/LT modifier attached with CPT 38792?... [ Read More ]

Sentinel lymph node with Vulvectomy 56630(56633), 56631 (56634)

Dear Christine, Thank you very much for your response! You are always there when we need help and sharing your experience with us is greatly appreciated! I understood the rational on vulvectomy and se... [ Read More ]

Sentinel lymph node with Vulvectomy 56630(56633), 56631 (56634)

From [URL='https://www.sgo.org/resources/coding-qa-vulva/']SGO Coding Q&A for vulva[/URL]: [HEADING=3]How do you code for bilateral inguinal sentinel lymph node removal performed at the time of radica... [ Read More ]

Does anyone have experience with billing Lymphoseek A9520? breast imaging lymph mapping reimbursement

Our breast imagers only perform the injection of the radiopharmaceutical for lymph node mapping and possible biopsy which are performed by a surgeon at a separate visit. So, we only bill 38792 and th... [ Read More ]

Mastectomy Coding

[QUOTE="MelBarclay, post: 490763, member: 690077"] Our dr mainly performs Lumpectomy/Partial Mastectomy using code 19301. However; we have a recent case that our dr reported the mass was very large a... [ Read More ]

lumpectomy

DISCLAIMER: I do not typically code breast surgery It looks to me like 19301 and 38525 should be billed instead as 19302 (mastectomy, partial with axillary lymphadenectomy) to avoid unbundling. 38792 ... [ Read More ]

lumpectomy

Thank you I am billing for the Surgeon. The surgeon has codes 19301, 38525,38792,59,38900,76000. I do not feel this is correct.... [ Read More ]

Cervical Lymph node mapping

Lymph node mapping for identification of sentinel lymph node is billed as either: 38792 Injection procedure, radioactive tracer for identification of sentinel node 38900 Intraoperative identification ... [ Read More ]

CPT for Sentinel Lymph node biopsy

[b]Updated for 2019[/b] This is one of those situations where previous answers and guidance may no longer be accurate. The previous guidance was probably the best option before 2019. However, ther... [ Read More ]

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