tci General Surgery Coding Alert - 2001 Issue 9

Meet the Challenge of Thyroidectomy Coding

Thyroidectomies and other related excisions, such as parathyroidectomies, can pose difficult coding challenges. The thyroid is the largest of the endocrine glands, consisting of two lateral lobes connected by an isthmus. A third pyramidal lobe sometimes extends from the isthmus. The gland may become malignant or enlarged (goiter), which can result in partial or total removal. When malignancy is not involved, the surgeon may attempt to preserve thyroid function by saving portions of the gland.  Thyroid excision and related codes range from simple aspiration and biopsy to total thyroidectomy (when the entire thyroid is removed). The code...

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