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Wiki 38746 but only Mediastinal Lymph Nodes Removed

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cromine

cromine

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Machesney Park, IL
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Can 38746 be billed when only mediastinal lymph notes are removed? There is no documentation of "regional lymph nodes" being removed. Only 4R, 10R, 11R & 7R. Is modifier 52 warranted here?
Thanks!
 
That would be the code if it was an open procedure and you're billing it with a primary procedure since it's an add on code.
 
Yes, it was open and I am also billing the main procedure. Does it need modifier 52 since there was not removal of regional lymph nodes? Only mediastinal lymph nodes were removed. Thanks.
 
I've never attached the 52 modifier. I have always taken it as it could be used for any lymph nodes removed in those areas.
 
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