tci General Surgery Coding Alert - 2016 Issue 8

Reader Question: Focus Laparoscopic Lymph Node Coding and Pay

Question: What is the correct code for a laparoscopic retroperitoneal lymph node dissection (periaortic and interaortocaval lymph nodes)? Texas Subscriber Answer: You should report 38589 (Unlisted laparoscopic procedure, lymphatic system) for the service you describe, because there is no specific CPT® code for this laparoscopic procedure. When you submit an unlisted code you should always include a cover letter with your claim explaining that you have searched the active CPT® codes and found no specific code for the procedure your surgeon performed. Use simple, straightforward language to explain exactly what the surgeon did and why an unlisted code fits...

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