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laparoscopic mesenteric lymph node biopsy

  1. #1
    Location
    Northeast Kansas AAPC
    Posts
    275
    Default laparoscopic mesenteric lymph node biopsy
    Medical Coding Books
    Is there a specific CPT code for lap mesenteric lymph node biopsy? Or do I use 49321?

  2. #2
    Location
    Quincy, MA
    Posts
    62
    Default
    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?

    Thanks!
    Leanne, CPC
    General/Vascular Surgery

  3. #3
    Location
    "RACE" Rappahannock Area Coding Experts
    Posts
    6
    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
    Default
    The mesentery is not considered retroperitoneal.
    You might consider the unlisted code 38999 for this procedure.

  5. Default New coder but taking a practium
    Quote Originally Posted by leanne View Post
    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?

    Thanks!
    the code for this is 49000
    diagnostic laparoscopy exploratory laparotomy and mesenteric lymph node biopsy

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