This code is valued for the lumpectomy and the axillary lymphadenectomy. The excision of lymph nodes for biopsy, 38525, is not separately reported as it is included in the total lymphandectomy.
Assign only the ICD-10 diagnosis code for the reason for the surgery and the ICD-10-PCS code for the removal of the lymph node tissue. C774 Secondary and unspecified malignant neoplasm of inguinal and lower limb lymph nodes
Lymph node sampling for biopsy is coded to the root operation Excision with the qualifier Diagnostic. Here is a biopsy of bone marrow, broken down by characters: Character 3: Root operation - In the Alphabetic Index, under the term ‘Biopsy, Bone Marrow’, leads to the term ‘Extraction’, with qualifier ‘Diagnostic’.
The procedure code 07BD3ZX is in the medical and surgical section and is part of the lymphatic and hemic systems body system, classified under the excision operation. The applicable bodypart is lymphatic, aortic. 07BD3ZX was replaced in the 2022 ICD-10-PCS code set with the code (s):
B3.4aBiopsy procedures B3. 4a Biopsy procedures are coded using the root operations Excision, Extraction, or Drainage and the qualifier Diagnostic. The qualifier Diagnostic is used only for biopsies.
38531CPT 38531 (biopsy or excision of lymph node(s); open, inguinofemoral node(s)) was created as an intermediate code between a simple open biopsy of the lymph node (CPT 38500) and more complex total lymph node dissections.
2022 ICD-10-PCS Procedure Code 0HB1XZZ: Excision of Face Skin, External Approach.
Biopsies are coded to the root operations excision, extraction, or drainage (with the qualifier diagnostic). When only fluid is removed during a needle aspiration biopsy, the root operation would be “drainage”.
38500CPT code 38500 is reported for open excision or biopsy of superficial lymph nodes — these nodes are usually palpable under the skin. Levels II and III are deep and reported with CPT code 38525 (open, deep axillary nodes). The depth of dissection should be documented in the op note for coding accuracy.
38500CPT Code 38500: Sentinel lymph node biopsy of superficial axillary lymph node(s) is correctly reported as CPT code 38500 (biopsy or excision of lymph node(s), superficial) which includes the removal of one or more discretely identified superficial lymph nodes.
No, CPT does not have a code for excisional biopsy. It is either a biopsy (11100 or 11101) or a benign or malignant excision code.
07B60ZXExcision of Left Axillary Lymphatic, Open Approach, Diagnostic. ICD-10-PCS 07B60ZX is a specific/billable code that can be used to indicate a procedure.
Resection is similar to excision except it involves cutting out or off, without replacement, all of a body part. Resection includes all of a body part or any subdivision of a body part having its own body part value in ICD-10-PCS, while excision includes only a portion of a body part.
When an entire lymph node chain is cut out, the appropriate root operation is Resection.
Core needle biopsy goes to Excision because the larger bore needle “cuts” a core of tissue from the body part. Fine needle (aspiration) biopsy goes to Extraction because it removes tissue. These are the biopsies being referred to in the Q4 2017 Coding Clinic.
third characterThe third character indicates the root operation, or specific objective, of the procedure (e.g., excision). The fourth character indicates the specific body part on which the procedure was performed (e.g., duodenum).