2025 CPT code 38562
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Lymph Nodes and Lymphatic Channels Surgery Feed
Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic. This procedure involves the removal of a limited number of lymph nodes from the pelvic and para-aortic areas for the purpose of staging cancer.
Modifiers are applicable. Modifier 58 is used when the procedure is staged, such as performing the lymphadenectomy after a prior related procedure. Modifier 22 is used for increased procedural services.
Medical necessity is established by the need to stage a known pelvic malignancy.
The surgeon performs the laparotomy, excises the lymph nodes, and closes the incision. They also interpret the pathology results for staging.
In simple words: This procedure involves removing a small number of lymph nodes near the pelvis and aorta to determine the stage of pelvic cancer.This helps doctors understand how far the cancer has spread.
Limited lymphadenectomy is performed for staging of pelvic cancers.The surgeon makes an incision (laparotomy) to access the abdomen and pelvis. Lymph nodes from the pelvic and/or para-aortic regions are removed and sent to pathology to determine the presence and extent of cancer spread. The findings are used to stage the cancer.The incision is then closed.
Example 1: A patient with newly diagnosed prostate cancer undergoes a limited pelvic and para-aortic lymphadenectomy for staging., A patient with uterine cancer undergoes a limited pelvic lymphadenectomy for staging., A patient with bladder cancer undergoes a limited pelvic lymphadenectomy for staging.
Documentation should include operative report detailing the lymphadenectomy, number of nodes removed, location of nodes, and pathology report. The reason for staging and the primary cancer diagnosis should also be documented.
- Revenue Code: P1G - MAJOR PROCEDURE - OTHER
- Payment Status: Active
- Specialties:Surgical oncology, urology, gynecologic oncology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center