The decision to perform lymphadenectomy (at the same or a later session) is based on the results of the biopsy.Įxample: The surgeon takes a biopsy of the sentinel axillary node (38525, Biopsy or excision of lymph node open, deep axillary node).The lymphadenectomy is unplanned at the time of the biopsy.Therefore you can report both sentinel lymph node biopsy and lymphadenectomy during the same session as long as: CPT Code 3855 for Sentinel Node Biopsy (SNLB)Sentinal Lymph Node Biopsy is separately reported when performed prior to a localized excision of breast or a mastectomy without Lymphadenectomy. Sentinel Node Biopsy (SNLB) CPT CodingPlease follow given points to be sure you get all your Sentinel Node Biopsy procedures billing claims reimbursed: Sentinel Node Biopsy is Billable when Results Lead to Subsequent ExcisionsWhen the surgeon performs a sentinel lymph node biopsy prior to an unplanned partial mastectomy (either with or without lymphadenectomy) and the subsequent excisions are a result of biopsy findings, you may report the sentinel node biopsy separately. Thus and confusing the two could have direct effects on the accuracy of your Medical Billing Claims. Sentinal node biopsy is not the same as Lymphadenectomy. If the sentinel nodes are free of cancer, then cancer isn't likely to have spread and removing additional lymph nodes is unnecessary. The sentinel nodes are removed and analyzed in a laboratory. Lumpectomy with Sentinel Node Biopsy for Melanoma involves injecting a tracer material that helps the surgeon locate the sentinel nodes during surgery. The Sentinel Nodes are the first few lymph nodes into which a tumor drains. Sentinel Node Biopsy in Breast Cancer Evaluation reveals cancer spread, then the patient needs additional lymph nodes removed. Learn correct Sentinel Node Biopsy (SNLB) CPT Codes for coding and billing of breast Cancer/melanoma patients.Ĭoding Sentinel Node Biopsy (SNLB) is a surgical procedure in Melanoma and Breast Cancer Screening to determine if cancer has spread beyond a primary tumor into the lymphatic system.
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