Surgery: Hemic and Lymphatic Systems (Q&A) (April 2014)

April 2014 page 11 Surgery: Hemic and Lymphatic Systems Question: When a lymph node or nodes are excised in the surgical area to access the blood vessels in breast reconstruction surgery, may this procedure be separately reported as a lymphadenectomy with code 38525, Biopsy or excision of lymph node(s); open, deep axillary node(s), code 38530, Biopsy or excision of lymph node(s); open, internal mammary node(s), or code 38740, Axillary lymphadenectomy; superficial? Answer: No. The procedure described is part of the exposure and is included in the breast reconstruction code. Surgery: Hemic and Lymphatic Systems (Q&A) (April 2014). CPT®...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This brief Q&A article addresses a surgical coding question involving lymph node excision during breast reconstruction and discusses how the scenario is treated in relation to CPT guidance. It is relevant to coders working with breast reconstruction, lymphatic procedures, and surgical reporting questions, especially when determining whether a separately reported lymph node procedure is appropriate.

Why This Topic Matters

It helps coding professionals understand how a common operative access step is discussed in CPT guidance so they can review similar surgical reports with the correct context.

Article Sections

  1. April 2014 page 11

    A dated Q&A section covering a surgical coding question from April 2014.

What You Will Learn

  • The article’s focus within CPT Assistant Q&A content
  • How the topic relates to breast reconstruction and lymphatic surgery coding
  • The kind of reporting question addressed in the article
  • The general scope of guidance provided for this surgical scenario

Who Should Read This

  • Medical coders
  • Coding auditors
  • Clinical documentation specialists
  • Revenue cycle professionals

Codes Discussed


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