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During a laparoscopic partial nephrectomy the surgeon also removed one left perihilar lymph node to check for metastases. How would I code this? 38570? Or the unlisted 38589 and comp to 38570 (or other code)?
The issue with using 38570 is the description states "retroperitoneal lymph node." I don't think you could classify a perihilar lymph node as retroperitoneal. As there is no other laparoscopic lymphadenectomy CPT more appropriate, I would suggest unlisted with comparison to 38570.
Clinical info is not my strongest skill and I would confirm with physician or ACP that it was in fact perihilar LN and whether or not that could be considered retroperitoneal.