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CPT® 38765, Under Radical Lymphadenectomy (Radical Resection of Lymph Nodes)

The Current Procedural Terminology (CPT®) code 38765 as maintained by American Medical Association, is a medical procedural code under the range - Radical Lymphadenectomy (Radical Resection of Lymph Nodes).

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Summary

The provider surgically excises the superficial lymph nodes in the inguinal, or groin area, and femoral, or thigh area. He also excises the lymph nodes from the pelvic area, in this procedure, including the external iliac, hypogastric, and obturator nodes. The provider does not excise the lymph nodes buried deep beneath the layers of muscle. The provider commonly removes the superficial inguinofemoral lymph nodes for cancer in the lower abdomen; he removes the pelvic lymph nodes at the same time as the disease is also in this area.

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extended pelvic lymphadenectomy
Hi! Doctor did a radical laparoscopic prostatectomy with total pelvic lymphadenectomy. 55866, 38571. Now the patient has elevated PSA again, and so doctor did an extended pelvic lymphadenectomy, lapar... [ Read More ]
HELP!! RFA/Facet block new LCD's as of 4-25-2021 Florida and Georgia 3rd level of rfa denied lcd guidelines pain management rfa nerve ablation
[COLOR=rgb(226, 80, 65)]Per LCD 33930 and 38765 Under limitations it states[/COLOR] [QUOTE] 6. One to two levels, either unilateral or bilateral, are allowed per session per spine region. The need f... [ Read More ]
ICG (Indocyanine green)
No experience with ICG during cholecystectomy, only for sentinel lymph node identification during hysterectomy. If you are performing it for sentinel lymph node identification, 38900 describes exactly... [ Read More ]
Billing 38900 Intraoperative sentinel Node mapping for gyn onc
You can only bill 38900 with one of the base codes 19302, 19307, 38500, 38510, 38520, 38525, 38530, 38531, 38542, 38562, 38564, 38570, 38571, 38572, 38740, 38745, 38760, 38765, 38770, 38780, 56630, 56... [ Read More ]
Need help!! Coding CPT 38972
[b]2019 update[/b] Since I posted this answer in 2017 & I know people often reference previous posts, I thought it important to update my answer. 38900 add on code is now billable with 38570-38572 fo... [ Read More ]
Billing 38900 Intraoperative sentinel Node mapping for gyn onc
Late to answer, but I was updating a previous post from 2017 regarding this & saw your related question. In 2018, we used 38999 for the ICG sentinel lymph node mapping. I'm very pleased that as of 2... [ Read More ]
lymphocele excision
Maybe look at 38760. You also need a 78 modifier because you're still in the global period of the first surgery. Here's the description of the procedure from SelectCoder: A superficial inguinofemoral ... [ Read More ]
Help coding Inguinal Lymphadenopathy, deep Inguinal lymph node biopsy
[b]Coding Clinic Response:[/b] I have also run into this situation. I found this coding clinic regarding deep vs superficial lymph node biopsy/excision: Jan 2009 CPT Assistant: Question: What is the... [ Read More ]
Which CPT codes would be used? continued inguinal left mass procedure
My surgeon did a surgery which appears to be a co-surgery with the GYN. The patient had a large mass that was attached to the colon, as well as the ovary. They both have documented their portions. The... [ Read More ]
Help needed for codes for this surgery!! adhesions inguinal left mass procedure
My surgeon did a surgery which appears to be a co-surgery with the GYN. The patient had a large mass that was attached to the colon, as well as the ovary. They both have documented their portions. The... [ Read More ]
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