tci General Surgery Coding Alert - 1999 Issue 6

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

Because a sentinel node biopsy includes not only removal of a portion of the lymph node, but also injection and imaging procedures, coding for it can be confusing. When billing for the procedure, surgeons should remember that each of these tasks were performed and should be submitted to the insurance carrier for payment.To perform a sentinel node biopsy, the patient is injected with a radioactive isotope in a procedure called a lymphoscintigraphy several hours before the surgery to allow the surgeon to locate the sentinel nodes. In addition, blue dye is injected near the lymph node when the...

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