AMA CPT® Assistant - 2018 Issue 4 (April)

Surgery: Hemic and Lymphatic Systems (Q&A) (April 2018)

April 2018 page 11 Surgery: Hemic and Lymphatic Systems Question: A patient presents with uterine serous carcinoma. The surgeon laparoscopically removed the uterus (weighing 475 g), the cervix, bilateral fallopian tubes and ovaries, and surrounding parametrial tissue. In addition, the surgeon completely removed the pelvic lymph nodes bilaterally and performed para-aortic lymph node sampling, as well as an omentectomy. The upper vagina was not removed. How should these procedures reported? Answer: Report new CPT code 38573, Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy(ies), omentectomy, and diaphragmatic washings, including diaphragmatic and...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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