I'm with the view they created 38900 to explain 38792. We used to use 38792 to the injection from the blue dye and/or radioactive tracers. It looks like They are really expressing the injection of blue dye isn't going to really incorporate Substantially added risk to just what the Dr is intending on performing(excision, mapping, biopsy). 38900 "provided..., when executed" the work and danger is inside the mapping not the injection.
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"CPT code 38792 can be billed for both the injection of radioactive tracer when done devoid of lymphoscintigraphy; and for your injection of very important dye (Isosulfan Blue Dye or an analogous item) to visualise the sentinel node, through the surgeon/medical doctor who performs the injection." [I cut and pasted that line with the post within the NGS Site]
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We distended the bladder with about 500 mL of the methylene blue mixture. We waited about 10 minutes and after that taken out the gauze. There was no signal of any orange excellent. There was a small quantity of blue staining within the midline gauze per vesicovaginal fistula.
They place 96372 around the posting, but I uncover it hard to think they place this affected person underneath for reimbursement just for the admin price.
The process might be 51700 to the instillation in the methylene blue in the postop time period for your surgery. The medical center take a look at might be not billable as it could happen to be at the normal rounding stop by, but the treatment is often billed but the one question is which modifier would get it paid (-fifty eight, -78, or -79)? It is far from prepared for every se and is diagnostic, not therapeutic in nature (so not pretty -fifty eight) but is is likewise not a return to your OR or utilizing a treatment area as it seems this treatment may perhaps are already accomplished at her bedside (so not very -seventy eight).
And then the other question I have is that the individual was observed by two of our OBGYN Medical professionals on precisely the same day, one particular observed the affected individual with the healthcare facility take a look at after which One more one among our OBGYN Medical professionals in the very same tax ID of our group did the Dye test method, undecided how that might function. ?????
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