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Question: Which group of lymph nodes constitutes a "total pelvic lymphadenectomy" with reference to codes 38571 and 38572? For instance, if the surgeon doesn't remove all the lymph nodes, but he does more than a biopsy, should I report unlisted code 38579?
North Dakota Subscriber
Answer: The bilateral external iliac, internal iliac (hypogastric), and obturator nodes are all part of a pelvic lymphadenectomy.
Here are the two CPT® codes you mention with full descriptors:
38571 (Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy)
38572 (Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy) single or...
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