I am trying to figure out the best way to code a lobectomy via thorascope when a thoracic lymphadenectomy was performed at the same time. (There is no code that I know of to code the thoracic lymphadenectomy via scope)

The way it was billed to the ins. company was 32663 lobectomy via thorascope and 38746-51 thoracic lymphadenectomy. Once billed to the ins. company, it was denied they stated the service was adjusted because the related or qualifying claim was not identified on the claim? This is how it has always been billed.

Can anyone help, thanks