When reporting fine needle aspiration of tissue, such as lymph tissue, report “Extraction” of the body part for the tissue aspirated when available in the appropriate PCS table. If the appropriate body part value is not available under “Extraction,” then the root operation “Excision” should be reported for fine needle aspiration of tissue. FNA procedures of gas or fluid should be reported to the root operation “Drainage.”
Please note that the Alphabetic Index has been revised to read as follows:
The advice in Coding Clinic First Quarter 2014, page 26, and First Quarter 2016, page 23, was correct at the time of publication because there were no available body part values for the lymph nodes or common bile duct with the root operation “Extraction.” The advice provided on page 41 of the Fourth Quarter 2017 issue of Coding Clinic was to make coding professionals aware that body part value additions to certain Extraction tables were now available for capturing FNA procedures of the listed body part values.
It is important to remember that coding professionals should not assign ICD-10-PCS procedure codes based only on where the Index directs without further confirmation of the ICD-10-PCS root operation definitions and the ICD-10-PCS tables.