AHA Coding Clinic® for HCPCS - 2018 Quarter 1; For Your Information
Coding clarification
In second quarter 2016, Coding Clinic for HCPCS, Page 3, Question 1, we provided guidance regarding appropriate coding of a left breast mass and a left axillary lymph node. We recently received a question regarding the response provided. The question is whether CPT code 38505 , Biopsy or excision of lymph node(s), by needle, superficial (e.g., cervical, inguinal, axillary, or similarly CPT code 38500 , Biopsy or excision of lymph node(s); open, superficial, should include a modifier for laterality. The code itself does not identify a specific site, and lymph nodes do not have laterality nor are they considered paired organs. Can you please clarify whether it is appropriate to append a modifier for laterality to these codes? ...
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Article Overview
This article addresses a follow-up coding clarification related to a previously published Coding Clinic for HCPCS question from second quarter 2016. It is aimed at coders, billers, and compliance staff who work with CPT and HCPCS guidance and need to understand how the publication frames laterality considerations for lymph node procedures.
Why This Topic Matters
It helps readers recognize when a prior published coding answer is being reaffirmed and understand the scope of the clarification without relying on assumptions about anatomy or modifier use.
What You Will Learn
- How the article frames a clarification of an earlier Coding Clinic for HCPCS response.
- What general coding issue is being revisited in connection with lymph node procedures.
- Why the article is relevant to readers who follow CPT and HCPCS guidance.
- How the publication context influences interpretation of the question.
Who Should Read This
- Medical coders
- Coding auditors
- Compliance professionals
- Revenue cycle staff
- Billing staff
Codes Discussed
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