Use Radiology, Injection and Excision Codes to Effectively Bill for Sentinel Node Biopsy

Why This Topic Matters

Sentinel node biopsy can involve multiple separately performed components, so coders need to understand how the service is framed in CPT and how payer policies may affect reporting. The article helps readers recognize why local carrier guidance matters and why billing practices may differ depending on who performs each part of the service.

Article Sections

1. Coding the Procedures

   Introduces the main service components involved in sentinel node biopsy and discusses how CPT addresses the injection, imaging, and excision elements at a general level.

2. Medicare Carrier Follows CPT Guidelines

   Summarizes a Medicare carrier policy update and describes how carrier guidance relates to reporting of the related procedures. It also notes the importance of checking local payer requirements.