CPT CODING Right and left obturator lymph nodes were removed during radical pros

Question

CPT CODING

Right and left obturator lymph nodes were removed during radical prostatectomy and were submitted as separate specimens for immediate diagnosis to assess metastatic disease involvement. The pathologist examined the specimens and selected two blocks from the right specimen and three blocks from the left specimen to create frozen sections. Each frozen section was examined microscopically. Pathologist also evaluated right and left obturator lymph nodes and prostate tissue for surgical pathology.

8 codes required

Explanation / Answer

CPT designation code for lymph node is 88307. When a frozen section or sections from more than one block of tissue from a single specimen is examined microscopically, the service is coded as one unit of 88331 for the left and an additional unit of 88332 for each block other than the first. (here for the right)

88307- level V - surgical pathology, gross and microscopic examination, prostate, except radical resection.

88309- level vi- surgical pathology, gross and microscopic examination, prostate, radical resection.

lymph node – biopsy (88305), two or more in the same specimen – “regional resection” (88307).If the larynx is submitted without lymph nodes it is Level V 88307.

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