![]() ![]() The ability to bill for the injection of dye makes up for the difference in work and allows for the facility to bill for the dye.Ī new code has also been added that allows us to properly bill for the work performed during a groin dissection for sentinel lymph node biopsy. These codes all pay approximately 3.0 work relative value units (wRVUs) less than lymphadenectomy procedures (see table below). ![]() 1, 2019, gynecologic oncologists would have to use one of the open or laparoscopic lymph node sampling codes by themselves to bill for a sentinel lymph node dissection for endometrial or vulvar cancer. Given the acceptance of sentinel lymph node biopsy for vulvar cancer and endometrial cancer as seen in changes to the National Comprehensive Cancer Network (NCCN) guidelines over the past several years, this seemed like a good time to update the list of codes that CPT code +38900 could be billed with as supported by these NCCN guidelines. Previously, CPT code +38900 was restricted to procedures usually done for a diagnosis of breast cancer or melanoma and restricted from being billed with CPT codes for hysterectomies and vulvectomies. These changes are based on the work of the SGO Coding Taskforce and the American College of Obstetricians and Gynecologists (ACOG) Committee on Health Economics and Coding. These 2019 coding changes will affect how you bill for lymph node dissections. 1, 2019, there will be changes to the parenthetical statement under CPT code +38900 regarding the CPT codes that it can be billed with for intraoperative identification (e.g., mapping) of sentinel lymph nodes (SLN) for gynecologic malignancies and a new CPT code for biopsy of inguinofemoral nodes. Diversity, Inclusion, and Health Equity Blog.Diversity, Inclusion, and Health Equity.SGO BRIDGES Research Initiative – Meet the Scholars.SGO BRIDGES Research Initiative – Meet the Mentors.SGO Leadership, Engagement, and Action in Diversity (LEAD) Program – Meet the Mentors.SGO Leadership, Engagement, and Action in Diversity (LEAD) Program.Anti-Harassment and Anti-Discrimination Policy.Conflict of Interest Disclosure and Dissociation Policy.
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