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tci General Surgery Coding Alert - 2019 Issue Q3

You Be the Coder: Focus FNA Unit of Service

Question: How should I code FNA of left thyroid lobe nodule and FNA of thyroid isthumus nodule? Arkansas Subscriber Answer: Without more detail, the best coding would probably be 10021 (Fine needle aspiration biopsy, without imaging guidance; first lesion) and +10004 (… each additional lesion…). Imaging: Because you don’t mention imaging guidance (or lack of it) in your question, a definitive answer isn’t possible. CPT® provides a series of FNA code pairs for “first lesion” and “each additional lesion” based on imaging guidance, as follows: 10005 (Fine needle aspiration biopsy, including ultrasound guidance...

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