75.6k views
2 votes
What is the correct CPT code (s):

Surgical Case Operative Report Procedure: Excision of left axillary lymph nodes Indications for This female patient had a lumpectomy for a breast lesion approximately 2.5 years ago. She presents with palpableadenopathy in the left axilla. Procedure: Description of The patient was brought into the operating room and placed on the OR table in the supine position. The left axilla was prepared and draped in the usual sterile fashion. After an adequate level of Procedure: general anesthesia had been achieved, a knife with a#10 blade was used to make acurvilinear incision in the skin overlying the adenopathy. This incision was carried down deep through the subcutaneous tissue using a Bovie knife. Babcock forceps were used to grasp the area of tissue surrounding the lymph node, which was carefully dissected from the surrounding tissues using a Bovie knife and scissors. All vessels encountered were either Bovied or clipped. The wound was irrigated and carefully examined for bleeders. The subcutaneous tissue was closed using a Vicry1 suture placed in interrupted fashion, and the skin was reapproximated using staples. Drainage was achieved with a Jackson-Pratt drain brought out through a separate wound. Sterile dressings were applied, and the patient was taken to the recovery room in a stable postoperative condition.

1 Answer

5 votes

Final answer:

The correct CPT code for the excision of left axillary lymph nodes is 38571. This code is used for the surgical removal of lymph nodes from the armpit area. It is important to consult the official CPT code book for accurate coding.

Step-by-step explanation:

The correct CPT code for the excision of left axillary lymph nodes would be CPT code 38571. This code is used specifically for the excision of axillary lymph nodes, which involves the surgical removal of lymph nodes from the armpit area.

In this case, the patient had palpable adenopathy in the left axilla, meaning there was swelling or enlargement of the lymph nodes in that area. The procedure involved making an incision in the skin, dissecting and removing the lymph node, and closing the wound.

It is important to note that the CPT code may vary depending on the specific details of the procedure, so it is always best to consult the official CPT code book and any relevant documentation to ensure accurate coding.

User Dave Draper
by
7.9k points