Medical Coding

Category - 30,000 Series

A physician performed a lymphangiography with insertion of radioactive tracer for identification of sentinel node. What is the correct code for this procedure?
  1. 38790 -50, 75803
  2. 38790, 75801
  3. 38792 -50, 75803
  4. 38792, 75801
Explanation
Answer: D - The correct code for the procedure is 38792 (Injection Procedure; Radioactive Tracer for Identification of Sentinel Node) which is the primary procedure. Code 75801 (Lymphangiography, Extremity Only, Bilateral, Radiological Supervision and Interpretation) also needs to be reported to indicate the radiological guidance for the lymphangiography procedure. The procedure is not indicated as a bilateral procedure, which would exclude code 75803, which is a bilateral procedure and modifier -50, which indicates that the procedure was bilateral.
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