Can 78195—lymphatics and lymph nodes imaging—be coded twice, once for each breast? If so, do we use LT and RT modifiers?
No, when lymphatic imaging is done, even when looking for the sentinel node, code 78195 only once for any and all imaging. If sentinel node injection without imaging is done, then the following could be assigned separately for each breast if both are injected.
38792 Injection procedure; radioactive tracer for identification of sentinel node