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  1. Theresa Posted 1 month(s) agoRelated Topics

    WHAT CPT CODES SHOULD I USE FOR "BILATERAL ROBOTIC NERVE SPARING RPLND (RETROPERITONEAL LYMPH NODE DISSECTION)" PHYSICIAN IS USING DIAGNOSIS C62.91 (MALIGNANT NEO TESTIS). PT HAS HAD A RIGHT RADICAL ORCHIECTOMY PRIOR TO THIS PROCEDURE. 2 WEEKS AFTER ORCHIECTOMY CT SCAN SHOWED PROMINENT NODES THAT ARE CONCERNING FOR METASTATIC DISEASE.

  2. SuperCoder Posted 1 month(s) ago

    HELLO

    As per above scenario, CPT code 38589 {Unlisted laparoscopy procedure, lymphatic system} seems to be the appropriate code. When reporting a procedure with an unlisted code, submit a cover letter explaining the reason for choosing the unlisted code instead of a defined, active code. Include one or more similar codes, and compare your service to those codes to justify the claim amount you are billing. Also include the operative notes or other relevant documentation to strengthen the claim and to avoid a possible denial. Your payers will consider claims with unlisted procedure codes on a case by case basis, and they will determine payment based on the documentation you provide.

    If this procedure is performed by the same physician as radical orchiectomy, then you may also add modifier-79 {Unrelated procedure or service by the same physician during the postoperative period} to your CPT code.

    HOPE THIS HELPS!

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  • Posted by 34012 Theresa, 1 month(s) ago. There are 2 posts. The latest reply is from SuperCoder.