tci Outpatient Facility Coding Alert - 2014 Issue 2

You Be the Coder: Consider Your Choices for Neck Biopsy

Question: The pathology report revealed a benign lymph node on the left posterior side of the neck. How would I code for an excision of the left posterior neck mass? New Hampshire Subscriber Answer: For any superficial open excision or biopsy you can use code 38500 (Biopsy or excision of lymph node[s]; open, superficial). Code 38500 can be used for biopsy or excision of lymph node(s) identified as possibly diseased. The physician might reach this conclusion by visualization or because the mass might be near other diseased tissue. You can report 38500 for any superficial node but it most...

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