Wiki Biopsy of lung

[ramjame]

CAN WE CODE 38505 RT 76942 26 88172 OR 10022 RT 76942 26

EXAM: US BX LYMPH NODES SUPRF#
INTERPRETATION: Clinic indication: Lung cancer. FDG avid right axillary lymph node. Patient is referred for ultrasound-guided biopsy.
Priors: PET/CT dated 01/23/2017.
Initial ultrasound demonstrate abnormal appearing 12 x 10 mm right axillary lymph node with loss of the normal central fatty hilum. .
Following explanation of risks and benefits an informed consent was obtained.
Using sterile technique and ultrasound guidance and following administration of Lidocaine, 22 gauge fine needle aspiration of the above-described right axillary lymph node was performed. A total of 2 passes were obtained. Subsequently 18-gauge core biopsy x4 was performed in order to obtain material for histological evaluation.
Immediate cytological evaluation deemed the specimen adequate.

Post procedure ultrasound demonstrates no hematoma. Patient tolerated the procedure without any immediate complications and was sent home in stable condition.

IMPRESSION: Ultrasound-guided biopsy of right axillary adenopathy.
Specimen sent for cytology and histology evaluation at integrated pathology services.

PLEASE EXPLAIN ME ABOUT THESE I WILL APPRECIATE

 

[chembree]

The axillary lymph nodes are located in the underarm area.
The correct codes are 38505 RT & 76942-26 (assuming you are billing professionally).

10022 is correct for the FNA but it bundles with the biopsy code. A FNA and biopsy can only be billed together if the FNA was inadequate and there is a need for the FNA.

 

[ramjame]

Thank u so much with your answer