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Unusual laparoscopic lymph node dissection

Natalie Posted Mon 06th of July, 2020 18:19:08 PM
Our surgeon performed a total laparoscopic hysterectomy with BSO, a right sentinel pelvic lymph node dissection (with the radiographic dye), a left pelvic lyphadenectomy. This was all performed for the diagnosis of endometrial cancer. How do I code this. Para-aortic lymph nodes were attempted but couldn't be dissected as there were too many adhesions.
SuperCoder Answered Tue 07th of July, 2020 07:06:20 AM
Hi Natalie nbsp Thanks for your question nbsp As per the provided documentation please report following CPT codes nbsp -Laparoscopy surgical with total hysterectomy for uterus g or less with removal of tube s and or ovary s -Laparoscopy surgical with bilateral total pelvic lymphadenectomy nbsp Since the weight of...
Natalie Posted Tue 07th of July, 2020 16:22:29 PM
What about the 38900 that we usually code with the sentinal lymph node biopsies? Wouldn't we need to add that?
SuperCoder Answered Wed 08th of July, 2020 06:48:44 AM
Thanks for your query nbsp If your doctor performed injection of radiographic dye then you may choose code from nbsp Injection procedure radioactive tracer for identification of sentinel node or Intraoperative identification eg mapping of sentinel lymph node s includes injection of non-radioactive dye when performed List separately in addition...

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