The CPT code for the excision of a right axillary mass with right axillary lymph node dissection is typically 38745 for the lymph node dissection, along with 21550 for the excision of the mass. However, it's essential to consult the latest codes or billing guidelines as codes can vary or be updated. Always verify with the current CPT codebook or a medical coding professional for accuracy.
Axillary dissection is a surgical procedure that incises (opens) the armpit (axilla or axillary) to identify, examine, or remove lymph nodes (small glands, part of the lymphatic system, which filters cellular fluids).
Axillary dissection is utilized to stage breast cancer in order to determine the necessity of further treatment based on cancer cell spread. Additionally, axillary dissection includes removal and pathological examination of axillary lymph nodes.
The CPT code for the excision of axillary tissue is typically 19120, which specifically refers to the excision of a breast lesion, including axillary tissue. However, if the procedure involves lymph node dissection or is more extensive, different codes may apply, such as 38500 for a lymphadenectomy. It's essential to reference the specific details of the procedure to ensure accurate coding. Always consult the latest CPT code manual for precise coding guidance.
A modified radical is a total mastectomy with axillary lymph node dissection, but with preservation of the pectoral muscles.
The axillary artery moves oxygenated blood to the the upper limbs, axilla and thorax. :)
The area between the breast and the axilla is referred to as the "axillary region" or "axillary space." This region includes the lateral aspect of the breast and the upper part of the arm, serving as a transition zone between the thorax and the arm. It is an important anatomical area for both clinical assessments and procedures, such as lymph node examinations.
The term "axillary" comes from the Latin word "axilla," which means "armpit." In anatomical terminology, "axillary" refers to anything related to the armpit area, including structures such as lymph nodes and blood vessels. This terminology helps provide a precise description in medical contexts, facilitating clearer communication about the body's anatomy.
One study found that only 2.6% of patients who had SLNB developed lymphedema, compared to 27% of patients who had ALND.
The difference between incision and excision of lymph nodes is very simple. The incision of a lymph node is when the biopsy only takes part of the lymph node during surgery. The excision of the lymph node is when the whole lymph node is removed.
Axillary is defined as of or relating to the armpit, and the lymph nodes therein. Axillary suspension, therefore, usually refers to a stoppage of the flow in those lymph nodes.
The lymph capillary in the right arm channels excess fluid from plasma. This fluid flows in the direction of the lymph nodes in the axilla through larger lymphatic vessels where the fluid becomes lymph.
The first station for the spread of breast cancer is the lymph nodes in the axilla then to the lymph nodes in the neck. If a patient has a biopsy it is not uncommon to have a test on the lymphnodes there.