tci General Surgery Coding Alert - 2013 Issue 5

You Be the Coder: Manage FNA/Biopsy Opportunities

Question: Our surgeon performed an FNA of the right thyroid, and FNA of a nodule of the right thyroid isthmus. Both specimens were inadequate for diagnosis, according to the pathologist’s intra-operative exam. The surgeon then proceeded to perform a right thyroid core biopsy and a core biopsy of the right isthmic nodule. Should we report two units of FNA and core biopsy, as well as four units of radiology for the ultrasound guidance? Missouri Subscriber Answer: Payer rules vary, but generally speaking the FNAx2 (10022, Fine needle aspiration; with imaging guidance) and core biopsyx2 (60100, Biopsy thyroid, percutaneous...

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