tci General Surgery Coding Alert - 2016 Issue 12

You Be the Coder: Capture Distinct FNA Sites

Question: Our surgeon performed an FNA on a palpable 2 cm nodule of the right thyroid lobe. The pathologist found insufficient cells in the specimen, and reported the finding back to our surgeon, who performed a second FNA at the site. The surgeon then performed an ultrasound study, identified a 1 cm nodule of the thyroid isthmus, and extracted a third FNA specimen from this site under ultrasound guidance. How should we code the surgeon’s work? Tennessee Subscriber Answer: You should report the two Fine Needle Aspiration (FNA) passes from the palpable right thyroid nodule using 10021 (Fine...

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