Wiki Biopsy of a lymph node

ginny333

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Question on Quiz of Lymphatic System

Biopsy of a lymph node by fine needle aspiration without image guidance.

CPT code 38505 by needle

Parenthentical states (For fine needle aspiration, use 10021 or 10022)

I did not want to use 10021 because it does not give enough information even though it is the code to use. I compare this to the difference between ICD-9 and ICD-10. ICD-10 wants more detailed information. Using 10021 is like taking a step back it seems. 38505 gives all the information I need - Biopsy or lymph node by needle without image guidance. But it was more important I guess to use only fine needle aspiration without specifying biopsy and location.

According to our power point in class sample tissue is taken for a biopsy and fluid is withdrawn for an aspiration. I don't understand why fine needle aspiration is even listed with a biopsy if you are doing two different things.
 
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