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Thread: 39400/38746

  1. #1

    Default 39400/38746

    AAPC: Back to School
    Would i be able to bill 38746- with 39400 ( mediastinoscopy).

    Dr. takes biopsy of R2, R4, 7, L4...

    I am confused b/c 39400 says with biopsy.

    Thank you

  2. #2
    Join Date
    Apr 2007
    Central Philadelphia chapter


    I believe the 39400 includes the lymph nodes.

  3. #3


    You can bill these two together. 39400 is for a mediastinal lymph node biopsy. 38746 is a separate incision over the sternum and a biopsy is done near the lungs, heart, and behind the trachea. Hope this helps...

  4. #4


    The last post is correct if the physician made another/separate incision to do a lymph node dissection. Although your question is not clear, I was under the assumption that your surgeon performed a mediastinoscopy and took biopsies at that time (with the mediastinoscope). If so, then only bill 39400.

    Lisi, CPC

  5. #5


    Thank you so much Everyone
    Yes Lisi you are correct the physician is only making one incision and took biopsies with the scope. I will stick to just 39400.

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