Near Total Thyroidectomy

A patient underwent near total thyroidectomy due to multinodular thyroid gland. During surgery, both the right and left thyroid lobes were removed, except for a small quantity of thyroid tissue. What is the appropriate root operation for a near total thyroidectomy, “Excision” or “Resection”? ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This premium coding article addresses a thyroid surgery scenario and focuses on how the documentation affects ICD-10-PCS procedure classification. It is intended for coders, CDI specialists, and other healthcare revenue cycle professionals who need to understand procedure coding for thyroidectomy-related cases.

Why This Topic Matters

Accurate procedure classification for thyroid surgery affects medical record coding consistency and downstream reimbursement, reporting, and analytics. The article helps readers interpret operative documentation in a way that supports correct ICD-10-PCS assignment.

What You Will Learn

  • How a near total thyroidectomy is discussed in the context of ICD-10-PCS procedure coding
  • What documentation elements are relevant to procedure classification
  • How the article frames coding for thyroid surgery cases when tissue remains behind
  • The general coding considerations involved in thyroid gland lobe procedures

Who Should Read This

  • Medical coders
  • Coding auditors
  • CDI specialists
  • Revenue cycle professionals
  • Health information management staff

Codes Discussed


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