tci General Surgery Coding Alert - 2012 Issue 10

You Be the Coder: Don't Miss Sentinel Node Service

Question: When our surgeon performs 19301 or 19303, she wants to additionally bill +38900 for using dye for a sentinel lymph node biopsy. Can we do this, even though CPT® doesn't list 19301 or 19303 as one of the base codes for add-on code +38900?Minnesota SubscriberAnswer: If your surgeon documents injecting dye to identify the first-draining node(s) in the lymph node basin, then removing a sentinel lymph node based on the findings, you can report that work in addition to a mastectomy.The base code for the sentinel lymph node biopsy is one of the following, depending on...

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