Member’s Tip: Report Imaging Guidance Only Once with Multiple FNAs

Submitted by Anthony McCallum, CPC, CCS, CPC-I, CIRCC

Multiple fine needle aspirations (FNAs) performed on separate lesions or at separate body sites may be reported separately using 10022 Fine needle aspiration; with imaging guidance by appending the appropriate anatomic modifier or modifier 59 Distinct procedural service; however, the imaging guidance may be reported only once per patient encounter.

National Correct Coding Initiative (CCI) Policy Manual guidelines allow one unit of service for radiologic guidance codes 76942, 77002, 77003, 77012, and 77021. “The unit of service for these codes is the patient encounter, not the number of aspirations, number of biopsies, number of injections, or number of localizations,” according to CCI guidelines.


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