Procedure Coding for the Hemic and Lymphatic Systems

Procedure Coding for the Lymphatic System

Procedure Coding for the Lymphatic System: As we navigate the fascinating specialty of lymphatic system coding, this course will focus on diagnostic and therapeutic procedures involving the lymph nodes. The rationale of assigning each CPT procedural code based on procedural documentation, coding guidelines and other factors is explained. Our goal is that on completion of this course, you will be significantly more confident and competent in your real-world lymphatic surgical coding skills.

Objectives:

Lesson 1: The Structure and Function of the Lymphatic System

• Identify key organs and structures of the lymphatic system
• Identify key functions of the lymphatic system

Lesson 2: Coding Procedures on the Head and Neck

• Distinguish between superficial and deep lymph nodes in the neck
• Demonstrate the difference between a radical and a modified radical neck dissection
• Apply the correct CPT codes for lymphatic procedures on the head and neck

Lesson 3: Coding Procedures on Thoracic, Axillary and Mammary Structures

• Distinguish between superficial and deep nodes in the axilla
• Apply the correct CPT codes for lymphatic procedures on the axilla and breast
• Apply the correct CPT codes for lymphatic procedures on the thorax and mediastinum

Lesson 4: Coding Procedures on Abdominal, Pelvic and Inguinofemoral Structures

• Apply the correct CPT codes for lymphatic procedures on the abdominal, pelvic and inguinofemoral regions</>

CE Credits:

AHIMA
This program has been approved for 2 continuing education units for use in fulfilling the continued education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.

• Domain: Data Structure, Content, and Information Governance

AAPC
This program has the prior approval of the American Academy for Professional Coders (AAPC) for 2 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor.

• Specialty CEUs: COC, CPC, CPC-P, CANPC, CASCC, CEMC, CFPC, CGIC, CGSC, CHONC, CIMC, CPB, CPCO, CPMA, CPPM

Target Audience:

• Professional Fee Coders
• Facility outpatient coders
• Billing professionals
• Charge entry staff
• Coding compliance professionals
• Practice Managers
• Coding Compliance Managers
• Coding Students
• Medical Scribes

Topics covered:

Add-on coding (en bloc splenectomy), Allogeneic bone marrow harvesting for transplantation, Allogeneic hematopoietic progenitor cell (HPC) harvesting (including peripheral blood apheresis collection), Allogeneic HPC transplantation/infusion (including multi-donor sequential infusion reporting), Autologous bone marrow harvesting for transplantation, Autologous HPC harvesting, Autologous HPC transplantation/infusion, Bone marrow (red vs yellow marrow) and hematopoiesis, Bone marrow aspiration (diagnostic), Bone marrow biopsy (diagnostic), Bone marrow biopsy + aspiration (same-session diagnostic combination), Bone marrow harvesting for transplantation (therapeutic), Blood components terminology (plasma, platelets, red blood cells/erythrocytes, white blood cells/leukocytes including eosinophils, basophils, lymphocytes/T-cells), CAR-T therapy overview and coding, CAR-T cell administration/infusion, CAR-T cell receipt and preparation (including thawing when frozen), Cell concentration (plasma/mononuclear/buffy coat processing), Code Purple practice questions, Code Red Ultimate Challenge scored assessment, Cryopreservation of harvested HPCs (therapeutic freezing) and storage, Dimethyl sulfoxide (DMSO) cryoprotectant handling and washing of thawed cells, Donor search and selection for HPC transplant, Flow cytometry as part of red blood cell removal processing, Iatrogenic splenic laceration during another procedure (NCCI “not separately reportable” guidance), Laparoscopic splenic procedures (laparoscopic splenectomy; unlisted laparoscopic spleen procedure reporting and operative report submission), Lymphocyte infusion after transplant (post-transplant cellular infusion for infection/relapse), Manometer pressure measurements during splenoportography, Medicare/CMS reporting considerations for CAR-T services in hospital outpatient departments, Modifier XS use when bone marrow aspirations/biopsies are performed at different anatomic sites, Plasma volume depletion of a fresh or thawed harvest, Platelet reinfusion to donor when platelet count becomes unsafe, Red blood cell removal from harvested cells (e.g., ABO incompatibility), Splenectomy (open total), Splenectomy (open partial), Splenectomy (open total en bloc performed with another procedure), Splenectomy (splenectomy as a “separate procedure” and when not to report), Splenectomy (conversion from attempted laparoscopic to completed open procedure—report completed procedure only), Splenic anatomy and primary structures (capsule, red pulp, white pulp, germinal center, hilum, splenic artery, splenic vein, sinuses), Splenoportography (injection procedure) and radiologic supervision/interpretation, Splenorrhaphy (spleen repair) via open and laparoscopic approaches (including repair with partial splenectomy included when performed same session), T-cell depletion of harvested cells (to reduce graft-versus-host disease risk), Thawing of cryopreserved HPC harvests (with and without washing), Transplant physician responsibilities during infusion (verify cell dose/donor, confirm patient identity, monitor start of infusion, manage/report toxicities, document in medical record), Tumor cell depletion/purging of autologous harvests.

Codes covered:

110.24 (NCD 110.24), 38100, 38101, 38102, 38115, 38120, 38120-59, 38129, 38200, 38204, 38204-38215, 38205, 38206, 38208, 38209, 38210, 38210-38212, 38211, 38212, 38213, 38213-38215, 38214, 38215, 38220, 38221, 38222, 38225, 38225–38227, 38228, 38230, 38232, 38240, 38241, 38242, 38243, 75810, 96360, 96361, 96411, modifier -59, modifier XS

Course Snippet: