Results 1 to 5 of 5


  1. #1
    Default 39400/38746
    Medical Coding Books
    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
    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. Default
    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.

Similar Threads

  1. 38746 Thoracic lymphadenectomy
    By AMBarber in forum Cardiovascular Thoracic
    Replies: 4
    Last Post: 03-11-2016, 07:51 AM
  2. 38746
    By cmblocher in forum Cardiovascular Thoracic
    Replies: 6
    Last Post: 08-01-2013, 07:53 AM
  3. Mediastinoscopy w/lymph node biopsy 39400
    By jcanton0 in forum Cardiovascular Thoracic
    Replies: 0
    Last Post: 01-26-2012, 01:15 PM
  4. 38746 ?
    By ksschroeder in forum Cardiovascular Thoracic
    Replies: 2
    Last Post: 05-04-2011, 10:43 AM
  5. 38746?
    By Jenlyn in forum Cardiovascular Thoracic
    Replies: 4
    Last Post: 03-23-2010, 06:52 AM

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.