ULSTRASOUND GUIDED LYMPH NODE BIOPSY LEFT NECK
Ultrasound of left neck obtained by the radiologist. Several small nodes which demonstrate fatty hila normal size. There is a lobular mildly enlarged node in the posterior triangle which corresponds to the position of the previous posterior triangle node identified. This does not demonstrate the normal reniform configuration with the fatty hilum replaced. Measures approx 6mm.
The procedure discussed with the patient. Informed consent obtained. Skin site is marked and prepped usual sterile fashion. 1% lidocaine local anesthesia. Using ultrasound guidance, numerous fine needle aspiration biopsies obtained of the node. No complication.
IMPRESSION: completed FNA biopsy of a posterior traingle node on the left. Await pathology.
Which code should I bill 10022 or 38505? Doctor wants to bill 38505 because says it was a biopsy, but there was no incision, so I am questioning which way to go.
Thanks!!
Ultrasound of left neck obtained by the radiologist. Several small nodes which demonstrate fatty hila normal size. There is a lobular mildly enlarged node in the posterior triangle which corresponds to the position of the previous posterior triangle node identified. This does not demonstrate the normal reniform configuration with the fatty hilum replaced. Measures approx 6mm.
The procedure discussed with the patient. Informed consent obtained. Skin site is marked and prepped usual sterile fashion. 1% lidocaine local anesthesia. Using ultrasound guidance, numerous fine needle aspiration biopsies obtained of the node. No complication.
IMPRESSION: completed FNA biopsy of a posterior traingle node on the left. Await pathology.
Which code should I bill 10022 or 38505? Doctor wants to bill 38505 because says it was a biopsy, but there was no incision, so I am questioning which way to go.
Thanks!!