2025 CPT code 38589
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Surgical Procedures on the Hemic and Lymphatic Systems Surgery Feed
Unlisted laparoscopy procedure on the lymphatic system.
Modifiers may be applicable depending on the specific circumstances of the procedure (e.g., 51 for multiple procedures, 59 for distinct procedural service). Consult the CPT manual and payer-specific guidelines for appropriate modifier use.
The medical necessity for this procedure will be determined based on the clinical indication.This must be clearly documented with appropriate supporting evidence.
The surgeon performs the laparoscopic procedure on the lymphatic system. This may include lymph node biopsy, removal, or other procedures as clinically indicated.Pre-operative, intra-operative, and post-operative care are also included.
In simple words: This code is for a special type of keyhole surgery on the lymphatic system (the body's drainage system) that doesn't have a specific code.The doctor will need to explain why this code is used instead of a more standard one, and provide detailed records of the surgery.
This CPT code, 38589, represents an unlisted laparoscopic procedure performed on the lymphatic system.It is used when no other specific CPT code accurately reflects the service provided.The procedure involves a laparoscopic approach to the lymphatic system, encompassing various procedures not otherwise categorized within the existing CPT code set.Detailed documentation, including operative notes and comparison to similar coded procedures, is crucial for accurate billing and reimbursement.
Example 1: A patient presents with enlarged lymph nodes in the abdomen, suspicious for malignancy.A laparoscopic lymph node biopsy is performed using code 38589 because no more specific code exists to describe the location or complexity of the procedure.Multiple lymph nodes are biopsied and sent for pathological analysis., A patient undergoes a laparoscopic procedure to remove a large cystic mass within a lymph node in the pelvis. Due to the unusual nature and location of the mass, code 38589 is used as no specific CPT code exists for this laparoscopic lymphatic system intervention. Thorough documentation of the mass removal, including pathology results, is crucial for accurate coding., During a laparoscopic procedure for another condition, an unexpected finding of an abnormal lymph node is encountered.A laparoscopic excision is performed to remove the lymph node. Because this was an unanticipated finding and the location and nature of the procedure do not precisely match any existing CPT codes, 38589 is used. Comprehensive documentation illustrating the unanticipated finding and the procedure performed is necessary.
* Operative report detailing the procedure, including the approach (laparoscopic), the specific lymph node(s) involved, the techniques used, and the findings.* Pathology report for any tissue samples obtained and examined.* Preoperative and postoperative notes outlining the patient's condition and clinical indication for the procedure.* Images (if applicable), such as intraoperative photographs or videos.* Justification for using an unlisted code, comparing it to the nearest similar, existing codes, and outlining why the procedure doesn’t fit within existing code descriptions.
** Accurate coding and reimbursement for 38589 requires extensive and detailed documentation.The use of this code should be limited to situations where no other specific CPT code accurately reflects the service provided.Always consult with your payer's guidelines for reimbursement specifics.
- Revenue Code: P5E (AMBULATORY PROCEDURES - OTHER)
- RVU: The RVUs for this unlisted code will vary depending on the complexity of the procedure and the payer.Detailed documentation is essential to justify the billed amount.
- Global Days: The global period for this procedure will depend on the specific services provided and the payer's guidelines.Documentation should clearly outline all components of the procedure.
- Payment Status: Active, but reimbursement varies significantly depending on the documentation and payer.
- Modifier TC rule: The application of a TC modifier will depend on the specific services performed and should be determined based on individual payer rules and clinical context.
- Fee Schedule: Historical fee schedules for unlisted codes are unavailable.Reimbursement for this code will be based on the documentation and payer-specific policies.
- Specialties:Surgical Oncology, General Surgery, Urology, Gynecology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center