An excisional biopsy means that the entire node was taken out so therefore this
is more than an 01 or 02. We would code this to a 25-excisional biopsy. We
would only use 01 or 02 if they removed a piece of the lymph node or just tissue
from the lymph node. I hardly ever see this done. In my experience the surgeon
usually removes the entire lymph node.

Pamela Tillman, CTR
Mobile Infirmary Medical Center Cancer Registry
Mobile, Alabama


towellde <no_reply@yahoogroups.com> wrote:
I have a coding question. We have received 2 very different answers
regarding this question from ACOS I&R, so I thought I'd like to get
some feedback regarding this topic from those of you out in the
workforce.

Using FORDS:
When the primary site is coded as Lymph nodes and the histology is a
lymphoma, how is an excisional bx of the LN coded? Do you use surgery
code 25 or code it in the "surgical, diagnostic, and staging" field
as an 01 or 02?


thanks for your input!
Deborah Towell, CTR
Oregon State Cancer Registry
deborah.j.towell@...



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