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Urology Coding Alert

You Be the Coder:
Here's the Best Code for Retroperitoneal Lymphadenectomy

Question: A patient had a retroperitoneal lymphadenectomy due to urothelial carcinoma of the left renal pelvis. The surgeon performed left robotic-assisted laparoscopic nephroureterectomy and retroperitoneal lymphadenectomy. How should we code the lymphadenectomy? Virginia Subscriber Answer: Bill the unlisted code 38589 (Unlisted laparoscopy procedure, lymphatic system) and benchmark it to the open code 38780 (Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and renal [...]

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