AMA CPT® Assistant - 2002 Issue 8 (August)
Cervical Lymphadenectomy-Codes 38720 and 38724 (August 2002)
August 2002 pages 8-9 Coding Communication:Cervical Lymphadenectomy-Codes 38720 and 38724 The lymphatic system is one of the main avenues in the body through which cancer can spread. About thirty percent of the body's lymph nodes are located in the head and neck. In the treatment of head and neck cancer, neck dissections are often used. A physician may perform a complete neck dissection or a modified radical neck dissection, wherein he or she removes the suspected diseased lymph nodes. The lymph nodes are sent for microscopic examination to determine the extent of the cancer. Since the goal of the...
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Article Overview
This August 2002 CPT Assistant article focuses on cervical lymphadenectomy in head and neck oncology. It outlines the neck lymph node regions, describes common neck dissection approaches, and presents coding guidance and operative vignettes related to CPT surgery code selection and bilateral reporting considerations. The article is useful for coders, auditors, surgeons, and billing professionals working with head and neck cancer procedures.
Why This Topic Matters
Neck dissection coding can depend on the extent of lymph node removal and the type of dissection performed. This article helps readers understand the clinical and coding context surrounding these procedures so they can compare operative documentation with the CPT framework discussed in the article.
Article Sections
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August 2002 pages 8-9
Introductory publication information for the coding communication article.
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Coding Communication: Cervical Lymphadenectomy-Codes 38720 and 38724
Overview of cervical lymphadenectomy in the setting of head and neck cancer and the general surgical context for the article.
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Regions of Lymph Nodes
General anatomy-focused discussion of how cervical lymph nodes are organized into regions of the neck.
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Neck Dissection Techniques
Broad comparison of neck dissection approaches and the surgical structures discussed in relation to those techniques.
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Reporting Neck Dissections with Codes 38720 and 38724
Coding-focused section addressing the article’s CPT surgery code discussion, including laterality and modifier use at a high level.
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Clinical Vignette: CPT code 38720
Operative example illustrating a complete neck dissection scenario associated with one of the CPT codes discussed.
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Clinical Vignette: CPT code 38724
Operative example illustrating a modified radical neck dissection scenario associated with one of the CPT codes discussed.
What You Will Learn
- How the article frames cervical lymphadenectomy within head and neck oncology.
- How the neck lymph node regions are organized in the discussion.
- How the article compares major neck dissection techniques at a general level.
- What coding topics are covered for the CPT surgery codes discussed.
- How the article presents operative examples and laterality considerations.
Who Should Read This
- CPT coders
- medical billers
- coding auditors
- head and neck surgeons
- oncology coding staff
Codes Discussed
Modifiers Discussed
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