tci General Surgery Coding Alert - 2014 Issue 2

Reader Question: Total Lobectomy Follows Hemithyroidectomy

Question: A patient had a right hemithyroidectomy 2 years ago, but our surgeon claims on the recent surgical note for a new procedure that he performed a total thyroidectomy. The op report states that the surgeon removed the left thyroid, but found a small 2cm x 3cm portion of thyroid gland remaining on the right side, which he dissected off the trachea. How should I code this? Tennessee Subscriber Answer: Your best choice for this scenario would be to report 60220 (Total thyroid lobectomy, unilateral; with or without isthmusectomy) and 60260 (Thyroidectomy, removal of all remaining thyroid tissue following...

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