Wiki Total Laryngectomy and lymph nodes dissection

Create Wiki
S

skumar

Contributor
Messages
16
Best answers
0
Can someone advise me the CPT code for the below services.

My question is Laryngectomy with regional lymph node dissection should be bundled and coded with 88309? or we can code all the 7 specimens seperately.

Please advise.


A: LYMPH NODES, RIGHT LEVELS 4 AND 5, NECK DISSECTION:
: TWELVE LYMPH NODES NEGATIVE FOR CARCINOMA (0/12).

B: LYMPH NODES, RIGHT LEVEL 3, NECK DISSECTION:
: THREE OF FOURTEEN LYMPH NODES POSITIVE FOR METASTATIC CARCINOMA (3/14).
: LARGEST METASTATIC DEPOSIT 17 mm; EXTRACAPSULAR EXTENSION PRESENT.

C: LYMPH NODES, RIGHT LEVEL 2, NECK DISSECTION:
: ONE OF TWELVE LYMPH NODES POSITIVE FOR METASTATIC CARCINOMA (1/12).
: LARGEST METASTATIC DEPOSIT 5 mm; EXTRACAPSULAR EXTENSION ABSENT.
: ONE LYMPH NODE WITH TREATMENT EFFECT.

D: LARYNX, TOTAL LARYNGECTOMY:
: SQUAMOUS CELL CARCINOMA, MODERATELY DIFFERENTIATED, INVOLVING LEFT AND RIGHT TRUE VOCAL CORD.
: THYROID WITH COLLOID NODULES.
: SEE SYNOPTIC REPORT IN COMMENTS SECTION.

E: LYMPH NODES, LEFT LEVEL 2 SELECTIVE NECK DISSECTION:
: NINE LYMPH NODES NEGATIVE FOR CARCINOMA (0/9).

F: LYMPH NODES, LEFT LEVEL 3, SELECTIVE NECK DISSECTION:
: NINE LYMPH NODES NEGATIVE FOR CARCINOMA (0/9).

G: LYMPH NODES, LEFT LEVEL 4, SELECTIVE NECK DISSECTION:
: ELEVEN LYMPH NODES NEGATIVE FOR CARCINOMA (0/11).

Thanks
skumar
 
I have done a research and found that, the larynx with regioanl lymph nodes should be bundled and code them with 88309 irrespective of any number lypmh node specimens done together or submitted seperately.

If anyone disagree my above statement. Please let me know your thought on coding this.

Thanks
skumar
 
You must log in or register to reply here.
Top