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CPT® 38505, Under Excision Procedures on the Lymph Nodes and Lymphatic Channels

The Current Procedural Terminology (CPT®) code 38505 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Lymph Nodes and Lymphatic Channels.

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Summary

The provider excises or biopsies lymph nodes lying near the surface of the body using a needle. The provider commonly performs this procedure to identify and diagnose the cause of disease in the lymph node or surrounding tissues. The provider can excise any superficial node, but more often the nodes in the cervical, axillary, and inguinal areas.

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Nexplanon removal w/Fluoroscopic guidance
77002 Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure) ... [ Read More ]
flouroscopic guidance denial
I believe you would also bill 77002 with 64420 and 64421 X3 . It is included within the "64400-64448" code set in the below note . (Use [URL='https://coder.aapc.com/cpt-codes/77002'][U]77002[/U][/... [ Read More ]
flouroscopic guidance denial
64420 is for a single level;[B] Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level[/B] and 64421 is and add on code to 64420; [B]Injection(s), anesthetic agent(s) and/o... [ Read More ]
63047 and 77002
There is an NCCI edit between 63047 and 77002. A modifier is allowed to bypass the edit, but when there is an edit, I typically go to the NCCI Policy Manual chapter that talks about the code I'm apply... [ Read More ]
38505 vs 10005
Type of needle. 10005 is fine needle. 38505 is core needle... [ Read More ]
38505 vs 10005
Can someone help me understand the difference between 38505- Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary) and 10005- Fine needle aspiration biopsy, ... [ Read More ]
38505
I have seen documentation in an EHR/ Med Rec (2019). that shows 38505 as a fine needle aspiration biopsy of a lymph node. When I saw that documentation I became confused because in the cpt code book,... [ Read More ]
38505
38505 is needle biopsy (the cpt book says biopsy or excision) of a lymph node. 10021 is fna (fine needle aspiration) biopsy of a lesion. The 38505 is for needle biopsy of a lymph node, not a 'lesion.'... [ Read More ]
38505
Can someone explain the difference between 38505 and 10021? Any help would be appreciated... [ Read More ]
Internal Mammary Lymph Node Biopsy
Hello PMFGIBSON, I believe if a needle is used I agree with 38505 or 38530 for biopsy of lymph node (s), internal mammary node along with the IR codes. Hope this helps somewhat clarify further~:)... [ Read More ]
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