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Wiki 39400/38746

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Coder708

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Would i be able to bill 38746- with 39400 ( mediastinoscopy).

Dr. takes biopsy of R2, R4, 7, L4...

I am confused b/c 39400 says with biopsy.

Thank you
 
You can bill these two together. 39400 is for a mediastinal lymph node biopsy. 38746 is a separate incision over the sternum and a biopsy is done near the lungs, heart, and behind the trachea. Hope this helps...
 
The last post is correct if the physician made another/separate incision to do a lymph node dissection. Although your question is not clear, I was under the assumption that your surgeon performed a mediastinoscopy and took biopsies at that time (with the mediastinoscope). If so, then only bill 39400.

Lisi, CPC
eharkler@nmh.org
 
Thank you so much Everyone
Yes Lisi you are correct the physician is only making one incision and took biopsies with the scope. I will stick to just 39400.
 
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