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?
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.