tci General Surgery Coding Alert - 2020 Issue Q3

Bundling Rules: Keep an Eye on NCCI When Billing Thyroid FNA Cases

Pay special heed to multiple-lesion guidance. Coding thyroid fine needle aspiration (FNA) cases can present some potential pitfalls for your surgical practice. Let our experts boost your coding know-how by considering case variations such as image guidance, laterality, and the number of “passes,” in light of statutory guidance from Medicare’s National Correct Coding Initiative (NCCI). Case 1: Guidance, Lesion(s) Focus Code Selection The surgeon performs an FNA of a right thyroid nodule, plus an FNA of a nodule of the right thyroid isthmus — both using ultrasound (US) guidance. Because the case documents US guidance, you...

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