AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2018 Issue 4; Ask the Editor

Fine Needle Aspiration Biopsy of Lymphatic Tissue

Coding Clinic, Fourth Quarter 2017, page 41, stated that the addition of the root operation Extraction to multiple body systems will allow the capture of additional detail, “including percutaneous aspiration biopsies and brush biopsies for the respiratory, gastrointestinal, and lymphatic body systems.” However, previous issues of Coding Clinic state that the root operation Excision should be used for aspiration biopsy of lymph node tissue. Additionally, the Index still directs users to Drainage for fine needle aspiration (FNA) of fluid or gas and Excision for fine needle aspiration of tissue. Can you please clarify the correct root operation for fine needle aspiration biopsy of lymphatic tissue? ...

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