April 2019 pages 4-5
Reporting Fine Needle Aspiration Biopsy Procedures
Fine needle aspiration (FNA) biopsy codes 10021 and 10022 were identified as potentially misvalued by the American Medical Association (AMA)/Specialty Society Relative Value Scale (RVS) Update Committee (RUC). It was determined that code 10022 was reported with imaging guidance more than 75% of the time; therefore, imaging guidance should be bundled into the service. In addition, it was determined that physicians were reporting codes 10021 and 10022 for each pass of a needle rather than once per lesion as intended. Stakeholder specialties proposed extensive guideline and coding changes, which...
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