Question:

We performed a sentinel node localization on a patient. We injected the radiopharmaceutical, did a lymphangiogram, then sent the patient to surgery. We coded 78195 and 38792 but are getting denied. Do you know what the problem is?

Answer:

Yes, 38792 is reported only when you inject the radiopharmaceutical for sentinel node localization and send the patient to surgery without doing a diagnostic lymphangiogram. If images are taken, then 78195 is reported and includes the injection. You cannot report both codes together.

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