tci General Surgery Coding Alert - 2002 Issue 5

Reader Question: Modifier -26 and FNA Codes

Question: Why are our claims for fine needle aspiration (FNA) performed in the office being denied? Ohio SubscriberAnswer: FNA is reported using 10021 or 10022. These codes were introduced in CPT 2002 to replace 88170 and 88171. However, 10021 and 10022 retained the characteristics of the two earlier codes: This includes the fact that each could be divided into professional and technical components, despite the fact that the technical component only covered provision of supplies (i.e., slide and needle) for the service. Medicare issued a transmittal (AB-02-018) in February 2002 that ended this division. Modifiers -26 (Professional component)...

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