tci General Surgery Coding Alert - 2019 Issue Q3

Needle Procedures: Confusing FNA and PNB Could Cost You

Look for three distinguishing features in the op report. If you’ve ever looked at an op report for a surgical sampling of a thyroid nodule, hepatic lesion, or other site, you might have been lost by the “needle” terminology in the op report. Maybe it’s not clear if your surgeon performed a fine needle aspiration (FNA) or a percutaneous needle biopsy (PNB) procedure, but you need to know the difference. Watch out: Choosing the wrong needle sampling code could mean losing hundreds of dollars on a single procedure. Solution: Use the following three clues to make...

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