What is the CPT code for axillary lymph node dissection?

What is the CPT code for axillary lymph node dissection?

38740 requires removal of all superficial axillary adipose tissue and all lymph nodes contained in this adipose tissue. 38745 requires a complete axillary dissection.

What is the difference between CPT code 38740 and 38745?

Superficial axillary lymphadenectomy (CPT code 38740) requires removal of all superficial axillary adipose tissue with all lymph nodes in this adipose tissue. 38745 is used to imply a more complete deep axillary dissection, which infers an axillary clearance of intervening fat and nodes from levels I-III.

What does CPT code 19301 include?

Oncologic resection with attention to margins (lumpectomy or partial mastectomy), code 19301, describes the procedure where margin status is indicated by any method and may include excision of additional surrounding tissue for margins.

What does CPT code 19302 mean?

CPT code 19302 is only reported when “all identifiable axillary lymph nodes are removed” — A separate incision may be made but that is not what determines coding, reporting is based on the extent of axillary lymph node dissection.

What does CPT code 38525 mean?

CPT® 38525, Under Excision Procedures on the Lymph Nodes and Lymphatic Channels. The Current Procedural Terminology (CPT®) code 38525 as maintained by American Medical Association, is a medical procedural code under the range – Excision Procedures on the Lymph Nodes and Lymphatic Channels.

What is axillary lymph nodes?

Listen to pronunciation. (AK-sih-LAYR-ee limf node) A lymph node in the armpit region that drains lymph from the breast and nearby areas.

What does CPT code 19357 include?

Breast reconstruction
CPT® 19357 Breast reconstruction, immediate or delayed, with tissue expander, including subsequent expansion describes this first stage.

What is axillary lymph node dissection?

Axillary lymph node dissection (ALND) is a procedure to remove these lymph nodes. What to Expect. ALND happens after cancer cells are found during a sentinel lymph node biopsy. ALND can remove lymph nodes located above, below or directly underneath a muscle that runs along the side of the upper chest.

How do you treat axillary lymph nodes?

How is axillary lymphadenopathy treated?

  1. axillary lymph node removal.
  2. other surgeries related to the specific cancer, such as lumpectomy for breast cancer.
  3. chemotherapy.
  4. radiation therapy.
  5. targeted therapy.
  6. immunotherapy.

What is the surgical approach for axillary dissection?

Background. Axillary dissection is a surgical procedure that incises the axilla to identify,examine,or remove lymph nodes.

  • Indications. Axillary dissection should be reserved for patients with proven axillary disease preoperatively or with a positive sentinel node biopsy.
  • Contraindications.
  • Technical Considerations.
  • What are the possible complications of axillary dissection?

    Lymphedema

  • Infection
  • Bleeding
  • Build up of fluid under the arm
  • Numbness under the arm
  • How is axillary dissection performed?

    How is axillary dissection performed? The axillary dissection is performed simultaneously during a mastectomy surgery and is usually carried out under general anesthesia . The surgeon makes an incision under the arm and removes 10-40 lymph nodes from level I and II.

    What is the normal size of an axillary lymph node?

    Nodes are generally considered to be normal if they are up to 1 cm in diameter; however, some authors suggest that epitrochlear nodes larger than 0.5 cm or inguinal nodes larger than 1.5 cm should be considered abnormal.7,8 Little information exists to suggest that a specific diagnosis can be based on node size.

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