Question:

We just started imaging, in nuclear medicine, after we inject the isotope, in the breast, for sentinel node identification. We previously assigned 38792 (injection procedure; radioactive tracer for identification of sentinel node), but now that we are imaging is the correct CPT® to use 78195?

Answer:

Yes, if you image after the injection, then you report ONLY 78195 (lymphatics and lymph nodes imaging). You would not report both 38792 (injection only, NO imaging) and 78195 (injection with imaging).

CPT® is a registered trademark of the American Medical Association.

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CPT® copyright 2024 American Medical Association (AMA). All rights reserved.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.

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