AAPC - Back to school
Results 1 to 2 of 2

Thread: 38525 vs 38740

  1. #1

    Default 38525 vs 38740

    AAPC: Back to School
    could use some assistance w/ key words to determine CPT for axillary dissection
    op report as follows, Dx : Carcinoma of right breast

    The right axillary region was prepped and draped in a sterile fashion. Infiltration with 1% Xylocaine mixed w/ equal parts of 0.5% Marcaine was used for anesthesia. A curvilinear incision was made in the lower axillary area and carried down to the subcutaneous tissue. The fascia was sharply incised at the lateral border of the pectoralis major and the minor were retracted medially. The axillary contents were grasped with an Allis clamp and mostly blunt dissection was used to free them up. Dissection was kept inferior to the axillary vein. The vascular and lymphatic structures were divided betwenn Hemo clips. The area was copiously irrigated with saline and bleeding was meticulously controlled. A Jackson-Pratt drain was inserted and brought out to a separate wound inferiorly and sutured in skin with 3-0 silk.

    My question is this 38525 or my understanding is 38740 requires removal of all superficial axillary tissue and all lymph nodes I coded this 38525
    am I correct , if not please give me some pointers or key words to look for

    Thank you for your help

  2. #2
    Join Date
    Apr 2007


    We use 38525 when we are sending axillary nodes for touch prep when performed with partial mastectomy. If you are only doing axillary dissection, you could use 38740 based on the note indicating dissection into pect major & minor.

Similar Threads

  1. 19301 38525? 38792?
    By MELJNBBRB in forum General Surgery
    Replies: 2
    Last Post: 04-30-2015, 10:03 AM
  2. 38525 or 19120
    By codedog in forum Outpatient Facilities
    Replies: 6
    Last Post: 01-28-2014, 06:49 AM
  3. Excisional biopsy 38525?
    By marycpc in forum General Surgery
    Replies: 2
    Last Post: 01-19-2012, 01:12 PM
  4. 19302 vs 19301 & 38525
    By deborahcook4040 in forum General Surgery
    Replies: 2
    Last Post: 10-20-2010, 04:15 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.