Open procedure, mesenteric lymph node bx

[philwjp]

I cannot find a code for mesenteric lymph node bx by open procedure, not lap. Pt had appendectomy and surgeon found enlarged lymph nodes on mesentery and did a bx of one of these while he was there. Not sure what code to use.

Thanks,

 

[chilipepper218@gmail.com]

What about 49180? In my CPT book, I see a note just after 38530 that says "for percutaneous needle biopsy, retroperitoneal lymph node or mass, use 49180. For fine needle aspiration, use 10022.) I hope this helps