tci General Surgery Coding Alert - 2011 Issue 12

Reader Question: 10021/21011 Bundles Limit Coding

Question: Our surgeon performed a fine needle aspiration followed by an excision of a 1.5 cm soft tissue mass of the face. Can we bill both the 10021 and the 21011 services? Utah SubscriberAnswer: No, you should not bill 10021 (Fine needle aspiration; without imaging guidance) and 21011 (Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm) for the two procedures directed at the same mass. Instead, you should report only the most extensive procedure: 21011.Here's why: CMS bundles FNA and soft tissue tumor codes under the "sequential procedures" policy of the Correct...

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