Ask Dr. Z

In spite of having all the correct wording to code 76937 and an understanding that lymph vessels generally code to venous, I do not feel that 76937 would be appropriate here for injection into the lymph node. Can you please clarify based on this documentation? They are injecting for lymphangiography.

"The vessel was sonographically evaluated and judged to be patent. Real time ultrasound was used to visualize needle entry into the vessel and a permanent image was stored. The lymphatic access was confirmed by slow infusion of lipiodol by hand. Intermittent fluoroscopic and spot images were obtained. Vessel accessed: Left inguinal lymph node."

I reported code 38790-50 for the bilateral injections performed.