AMA CPT® Assistant - 2009 Issue 1 (January)

Surgery: Hemic and Lymphatic Systems (January 2009)

January 2009 page 7a Surgery: Hemic and Lymphatic Systems, 38760, 38765, 38500, 38505 (Q&A) Question: What is the most appropriate code to report a simple, deep lymph node excision of the inguinal area (not a radical lymphadenectomy)? Answer: From a CPT coding perspective, code 38760, Inguinofemoral lymphadenectomy, superficial, including Cloquets node (separate procedure), represents a procedure for a superficial dissection of the inguinal lymph nodes (groin nodes) and is commonly performed for malignancy. Code 38765, Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure), represents the work described by code...

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