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Lymphangiography with embolization

Date: Jan 26, 2023

Question:

HI Dr. Z,

Please let me know if this is how you would code this procedure? Bilateral inguinal lymphatic system accessed with ultrasound guidance. Lymphogram through the pelvis and abdomen. Next accessed the left brachial vein with cannulation of thoracic duct off the left subclavian. Lymphangiogram done in thoracic duct where extravasation seen near surgical clips. Embolization done with n-BCA. I am thinking 38794, 38790-50, 75807, 37244? Is 76937 allowed for ultrasound guidance of lymph system and do we code anything for the left brachial vein access site or is that part of 38794?

Thank you for your help

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