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Thread: laparoscopic mesenteric lymph node biopsy

  1. #1
    Join Date
    Apr 2007
    Northeast Kansas AAPC

    Default laparoscopic mesenteric lymph node biopsy

    AAPC: Back to School
    Is there a specific CPT code for lap mesenteric lymph node biopsy? Or do I use 49321?

  2. #2
    Join Date
    Apr 2007
    Quincy, MA


    I'm trying to code this same exact procedure. Wondering if it could be coded as:

    38570 Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple

    Does anyone know if mesenteric lymph nodes fall under category of retroperitoneal lymph nodes?

    Leanne, CPC
    General/Vascular Surgery

  3. #3
    Join Date
    Apr 2007
    "RACE" Rappahannock Area Coding Experts

    Default Lap mesenteric lymph node biopsy

    The 49321 does not mention the lymph nodes. We have the same queston and the best we could come up with is the 38570 but were unsure about the "with retroperitoneal" since we were looking for abdominal lymph node.

  4. #4
    Join Date
    Apr 2007
    Newport, VT


    The mesentery is not considered retroperitoneal.
    You might consider the unlisted code 38999 for this procedure.

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