Surgery: Integumentary System (May 2019)

May 2019 page 10 Surgery: Integumentary System Question: What code should be used to report a physician's work for fine needle aspiration (FNA) of nodular thyroid gland (bilateral lobes)? The physician performs an FNA biopsy without image guidance on the right thyroid lobe nodule; however, the physician then determines that ultrasound guidance is necessary for an FNA biopsy of the left thyroid lobe nodule. Answer: CPT code 10021, Fine needle aspiration biopsy, without imaging guidance; first lesion, would be reported for FNA biopsy of the right thyroid lobe nodule because this is the first lesion biopsied with no imaging...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This May 2019 CPT Assistant article for the Surgery/Integumentary System category discusses a thyroid fine needle aspiration scenario involving both non-imaging and ultrasound-assisted work. It is relevant to coders, billing staff, and clinicians who need to understand how the article frames reporting considerations for biopsy services and related CPT guidance.

Why This Topic Matters

Even short coding advisories can affect how a service is documented and reported, especially when a single encounter includes more than one biopsy approach. This article helps readers recognize the general coding topic and the type of CPT guidance being discussed without replacing the full premium content.

Article Sections

  1. May 2019 page 10

    A short question-and-answer discussion from CPT Assistant covering a thyroid biopsy scenario within the Surgery/Integumentary System topic area.

What You Will Learn

  • The general reporting issue discussed in a thyroid fine needle aspiration scenario.
  • How the article frames the difference between guided and non-guided biopsy services.
  • The CPT Assistant context and specialty area covered by the guidance.
  • The type of documentation situation addressed in the Q&A format.

Who Should Read This

  • Medical coders
  • Coding auditors
  • Revenue cycle staff
  • Physician offices
  • Endocrinology practices
  • Pathology and surgery billing teams

Codes Discussed


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