tci Part B Insider - 2013 Issue 22

Coding Case Study: Focus on Fine Needle Aspiration Site to Bring Home FNA Pay

Beware ‘pass’ terminology. With multiple specimens and procedures in a single fine needle aspiration (FNA) case, you have a chance to get paid for several services — or a chance to miss some pay your pathologist deserves. Study the following thyroid case, then look at our experts’ coding to make sure you seize the opportunities, avoid the pitfalls, and learn how to strengthen documentation to support your coding choices. Examine the Pathology Report Clinical history: Palpable thyroid nodule, right lobe. Procedure: April 23, 2013, FNA with ultrasound guidance. FNA immediate studies for specimen adequacy determination, and FNA diagnosis...

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