CPT® Code 38760

A superficial inguinofemoral lymphadenectomy, as described by CPT® Code 38760, is a surgical procedure that involves the removal of lymph nodes located in the inguinal and femoral regions, specifically including Cloquet's node. Cloquet's node is a significant lymph node situated in the deep inguinal area, acting as a transitional point between the inguinal and iliac regions. This procedure is categorized as a separate procedure, indicating that it is performed independently and not as part of a more extensive surgical intervention. The surgical approach begins with an incision made parallel to the inguinofemoral ligament, which is carefully extended down to the layer known as Camper's fascia. During the operation, skin flaps are elevated while ensuring that they are separated from the underlying fat pad, allowing for better access to the deeper tissues. The dissection continues at the superior aspect of the inguinal region, where Cloquet's node is identified and excised. A frozen section analysis may be performed on this node to assess for malignancy. The procedure further involves mobilizing the fat pad that contains the nodal tissue down to the inferior margin of the inguinal ligament, followed by dissection into the femoral triangle. The cribriform fascia is then opened, and the nodal tissue over the common femoral vein is meticulously freed. Ultimately, the inguinofemoral nodal tissue is removed as a single specimen, ensuring that all relevant lymphatic tissue is excised for pathological evaluation.