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2025 CPT code 38562

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.

Do not report 38562 in addition to other excision codes if lymphadenectomy is part of the primary procedure. Modifier 58 may be necessary if the staging procedure is performed during the global period of a previous procedure.

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.

IMPORTANT:(When combined with prostatectomy, use 55812 or 55842) (When combined with insertion of radioactive substance into prostate, use 55862)

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.

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