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CPT 38531: Femoral/Inguinal Lymph Node Excision, Lymphadenectomy
CPT code 38531 designates a surgical femoral/inguinal lymph node excision (lymphadenectomy) in which the surgeon incises the groin/femoral area and removes all or part of one or more lymph nodes. This code is used for definitive surgical removal of lymphatic tissue in the groin and is relevant across oncologic, infectious, and diagnostic care pathways where nodal sampling or clearance is indicated. Nationally, accurate coding of this procedure affects surgical quality tracking, resource allocation, and claims processing for inpatient and outpatient surgical settings.
Key payers covered in related analyses include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise presentation of what the code represents clinically, the typical sites of service, common modifiers associated with surgical coding, and the context needed for billing and documentation. The publication outlines benchmark considerations, common billing scenarios, and clinical context such as indications for lymphadenectomy and expected surgical settings. Where specific payer coverage or reimbursement benchmarks are not provided in the input, the document indicates that data is not available.
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Billing Code Overview
CPT code 38531 describes a surgical procedure in which the provider makes an incision over the groin and femoral region, dissects down to the lymphatic tissue, and removes all or part of one or more lymph nodes. This procedure is a surgical lymphadenectomy of the femoral/inguinal region.
Service type: Surgical procedure — lymph node excision/lymphadenectomy
Typical site of service: Operating room or ambulatory surgical center with a procedure focused on the groin/femoral region
Data not available in the input.