Nuclear Medicine Question for the Week of April 18, 2016

Question:

When performing sentinel node injections on the left and right breasts, can 38792 be assigned twice? Also, can the isotope charge be coded twice since two separate doses are ordered? Does the coding process require the use of a modifier?

Answer

Yes, if both breasts were injected, you may assign 38792 twice (on one line with modifier -50 and one unit of service). Since two separate procedures are being done, the isotope also would be coded twice, each on a separate claim line with modifier -59 on the second.

Answer: