What does CPT code 38900 mean?

What does CPT code 38900 mean?

Code 38900 is an add-on code to be used with any lymph node biopsy or lymphadenectomy code to indicate the intraoperative work done to identify the sentinel lymph nodes. Therefore, lumpectomy with sentinel node biopsy is billed using codes 19301, 38525-51, and 38900.

Is CPT code 38900 and add on code?

New add-on CPT code 38900, Intraoperative identifica- tion (eg, mapping) of sentinel lymph node(s), includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure), is reported in conjunction with 19302, 19307, 38500, 38510, 38520, 38525, 38530, 38542, 38740, 38745.

What is the difference between 38792 and 38900?

38792 is for the radioactive tracer that is usually injected in a different locale before surgery. The 38900 is the methylene blue that the surgeon injects during surgery and it is not radioactive. These are usually both used for a SLN biopsy/excision.

Can CPT code 38792 be billed with 38900?

A modifier will still be needed since 38900 and a CCI conflict with 38792. I stand corrected with the modifier 59, but in CPTxae is also states that: for injection of radioactive tracer for identification sentinel node, use 38792 which is right under the defintion of CPTxae code 38900.

What does CPT code 38792 mean?

CPT code 38792 is for the injection of a radioactive tracer. This service is generally performed in the ancillary department by a radiologist prior to a patient being taken to the operating room for a sentinel node biopsy by the surgeon.

What is procedure code 38900?

CPT code +38900 is used for the intraoperative identification (e.g., mapping) of sentinel lymph node(s) and includes injection of non-radioactive dye, when performed.

Does CPT 38900 need a modifier?

It should not need a modifier 59 as stated 38900 is an add on code and add on codes do not need modifiers as long as they are being billed with the code that coralates with it.

What is a CPT add on code?

Uterine Cancer.CPT CodeDescriptionRVU+38900Intraoperative identification (e.g. mapping) of sentinel nodes Add -50 modifier if bilateral2.5 x2 (if bilateral)3 more rowsx26bull;27-Oct-2021

Do you need a modifier for an add on code?

An add-on code is a HCPCS/CPT code that describes a service always performed in conjunction with the primary service (see CPT definition below). An add-on code is eligible for payment only if it is reported with the appropriate primary procedure performed by the same physician.

Can CPT 38900 and 38792 be billed together?

These codes can’t be billed without a primary code, and the fee is already discounted as it is a secondary procedure. This is why add-on codes are modifier 51 exempt and, most of the time, you won’t need to use any modifiers with CPT add-on codes

What is CPT code 38792?

38900 is identified in your CPTxae book as an add on code which means it cannot be billed by itself seperatly. There fore you have to have a primary code to bill with first such as 38792.

Does CPT 38792 need a modifier?

CPT code +38900 is used for the intraoperative identification (e.g., mapping) of sentinel lymph node(s) and includes injection of non-radioactive dye, when performed.

What is the primary code for CPT 38900?

38792 is for the radioactive tracer that is usually injected in a different locale before surgery. The 38900 is the methylene blue that the surgeon injects during surgery and it is not radioactive. These are usually both used for a SLN biopsy/excision.

What is the CPT code for sentinel node biopsy?

38792 is for the radioactive tracer that is usually injected in a different locale before surgery. The 38900 is the methylene blue that the surgeon injects during surgery and it is not radioactive. These are usually both used for a SLN biopsy/excision.

Is CPT code 38900 and add-on code?

New add-on CPT code 38900, Intraoperative identifica- tion (eg, mapping) of sentinel lymph node(s), includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure), is reported in conjunction with 19302, 19307, 38500, 38510, 38520, 38525, 38530, 38542, 38740, 38745.

What are CPT code add ons?

An add-on code (AOC) is a procedure code that describes a significant supplemental service commonly performed in addition to a primary procedure. Add-on codes are rarely eligible for payment unless they are reported with a valid primary procedure code on the same date of service.

Where is the add on code in CPT?

In the CPT Manual an add-on code is designated by the symbol +. The code descriptor of an add-on code generally includes phrases such as each additional or (List separately in addition to primary procedure).

What denotes an add on code in the CPT manual?

Terms in this set (134) The current edition of the CPT manual is pocket-sized and contains approximately 4,000 codes. The CPT manual is updated by CMS in May of each year. A circle denotes an add-on code in the CPT manual.

Does an add on code need a modifier?

These codes can’t be billed without a primary code, and the fee is already discounted as it is a secondary procedure. This is why add-on codes are modifier 51 exempt and, most of the time, you won’t need to use any modifiers with CPT add-on codes

Do you use modifier 51 with add on codes?

Modifier 51 is not appended to add-on codes. For example, modifier 51 would not be appended to CPT code 64462 as it is an add-on code and would be used for any additional injection sites per its definition.

Does modifier 59 go on add on codes?

Yes you may append modifier 59 to an add on code.

Can modifier 22 be used with add on codes?

This could be an additional procedure code, an add-on code, or a different procedure code altogether. This modifier is not appropriate for an Evaluation and Management (E/M) service.

How do I use CPT add on codes?

In the CPT Manual an add-on code is designated by the symbol +. The code descriptor of an add-on code generally includes phrases such as each additional or (List separately in addition to primary procedure).

What is the CPT code for injection for lymphangiography?

If one physician is billing for the injection of the tracer and the injection of the dye, CPT code 38792 should be billed on 2 lines of coding, using modifier 59 on the second line.

Can CPT 78195 be billed bilaterally?

CPT code 38792 is for the injection of a radioactive tracer. This service is generally performed in the ancillary department by a radiologist prior to a patient being taken to the operating room for a sentinel node biopsy by the surgeon.

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