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Thread: Cpt 51597, 38770, 57107, & 50820

  1. #1

    Default Cpt 51597, 38770, 57107, & 50820

    AAPC: Back to School
    51597 - Pelvic exenteration, complete, for vesical, prostatic or urethral malignancy, with removal of bladder and ureteral transplantations, with or without hysterectomy and/or abdominoperineal resection of rectum and colon and colostomy, or any combination thereof

    38770 - Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure)

    57107 -Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy)

    50820 - Ureteroileal conduit (ileal bladder), including intestine anastomosis (Bricker operation)

    Fidelis Medicaid is denying 38770
    **Per CCI, 50820 is bundled to 51597, no modifier allowed.

    Does anyone have any suggestions?

    Thank you,

  2. #2


    38770 is designated seperate procedure. Maybe a -59 will work?

  3. #3


    Actually, I'm more concerned with 51597 & 38770.

    Per CCI, there are no bundling issues. Payer is denying 38770 as bundled to 51597?

    Do you agree or disagree?

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