Sentinel Node Biopsy

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June 14, 2012

Question:

Does the surgeon have to document that the sentinel node was removed via a separate incision from the mastectomy in order to report CPT code 38525 in addition to the mastectomy?

Answer:

Thanks for your inquiry. There are no requirements for a separate incision to report a sentinel lymph node biopsy in addition to the appropriate mastectomy code(s).