tci General Surgery Coding Alert - 2002 Issue 7

Reader Question: Completion Thyroidectomy

Question: The surgeon performed a "completion thyroidectomy." Another physician had previously performed a left lobectomy with biopsy of right lobe. Should I use 60260 or 60220? The pathology report notes that the biopsy "consists of a 20-gram partial thyroidectomy specimen." How did a biopsy become a partial thyroidectomy? Alabama SubscriberAnswer: The correct code is 60260 (Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid), not 60220 (Total thyroid lobectomy, unilateral; with or without isthmusectomy). The fact that another surgeon performed the original thyroidectomy is not important because the code descriptor refers...

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