deborahcook4040
Networker
I've been coding as if they are, but I can't find anything actually stating that they are. 38900 stipulates that "injection of non-radioactive dye, when performed" is included, but the AMA's notes state that injection of radioactive tracer should be coded with CPT 38792.
So, if you're doing a sentinel lymph node mapping procedure with injection of a radioactive tracer, why wouldn't we use both codes?
The Medicare reimbursement (in my area) for CPT code 38792 is only $41.68, while the reimbursement for 38900 is $147.88. It just doesn't make sense to me to use 38792 by itself, but 38900 specifically excludes the radioactive dye.
Does anyone have documentation stating you can't use both, or has anyone received denials from payers for coding both codes?
So, if you're doing a sentinel lymph node mapping procedure with injection of a radioactive tracer, why wouldn't we use both codes?
The Medicare reimbursement (in my area) for CPT code 38792 is only $41.68, while the reimbursement for 38900 is $147.88. It just doesn't make sense to me to use 38792 by itself, but 38900 specifically excludes the radioactive dye.
Does anyone have documentation stating you can't use both, or has anyone received denials from payers for coding both codes?