Results 1 to 2 of 2

38500 or 38510? please help

  1. Default 38500 or 38510? please help
    Medical Coding Books
    need help with the following, CPT 38500 because first paragraph states (more superficial) but our doc keeps telling us it should be 38510 because it was within the subcutaneous tissue??? Thanks

    DX: Lymphoma

    Right supraclavicular lymph node biopsy

    Patient had multiple cervical nodes and had one just above the clavicle, which seem in the more superficial. This was biopsied.

    A transverse incision was made with the scalpel and dissected down through the skin into the subcutaneous tissue down to the level of the node. The node was then circumferentially dissected free using the Metzenbaum scissors several supplying blood vessels were cauterized with the Bovie. The node was excised intact. A small edge of the node was excised and divided and sent the cultures for routine culture and sensitivity, TB and fungus. The remainder of the node was placed in saline for pathologic (histologic) examination. Hemostasis having been obtained. The wound was closed in running 3-0 vicryl subcutaneously and a subcuticular 4-0 Monocryl running for the skin. SteriStrips and sterile dressing were applied .

  2. #2
    Athens, OH
    When I read this, my first impression is the 35000 as well.
    RBoggs CMA, CGSC **Bloom where you are planted**

Similar Threads

  1. Correct use of 38500
    By jdibble in forum General Surgery
    Replies: 3
    Last Post: 05-11-2012, 12:08 PM

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.