AHA Coding Clinic® for HCPCS - 2021 Issue 1; For Your Information

Laparoscopic bilateral total lymphadenectomy

A patient with endometrial adenocarcinoma underwent a total laparoscopic robotic-assisted hysterectomy with bilateral salpingo-oophorectomy, sentinel lymph node mapping with indocyanine green (ICG), dissection of the sentinel and peri-aortic lymph nodes, omental and peritoneal biopsies, and pelvic washings. When only the sentinel lymph nodes are removed, is it appropriate to assign a code for a bilateral total lymphadenectomy? Is there a specific number of lymph nodes that need to be removed in order to assign CPT code 38572 to capture a bilateral total lymphadenectomy? ...

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