baash1124
Contributor
Can anyone help me with suggestions on how to code for this many multiple bilateral FNA Thyroid nodules?
"....Ultrasound was used to interrogate the thyroid. The dominant left mid to upper pole heterogeneous nodule was again identified. The area overlying this region was anesthetized with 1% lidocaine. Fine needle aspiration was obatained of this lesion and given to pathology for evaluation. A nodule at approximately 1 cm was seen within the left upper pole with internal calcifications. This lesion was also FNA in the same fasion. Susequently, attention was given to the right thyroid gland where there are two large midpole thyroid nodules extending into the lower pole one of which is mixed solid cystic and the other, which is more solid in appearance with mixed hypo and hyperechoic regions. A third lesion was seen within the upper pole measureing approximately 1 cm with internal calcifications. These lesions also FNA. There is a total of two left and three right nodules fine needle aspirated as described above. Needle access was documented with ultrasound."
I know to use 10022 and 76942 I just wasn't sure if I could bill for all 5 and what modifiers I could use.
Thanks in advance.
"....Ultrasound was used to interrogate the thyroid. The dominant left mid to upper pole heterogeneous nodule was again identified. The area overlying this region was anesthetized with 1% lidocaine. Fine needle aspiration was obatained of this lesion and given to pathology for evaluation. A nodule at approximately 1 cm was seen within the left upper pole with internal calcifications. This lesion was also FNA in the same fasion. Susequently, attention was given to the right thyroid gland where there are two large midpole thyroid nodules extending into the lower pole one of which is mixed solid cystic and the other, which is more solid in appearance with mixed hypo and hyperechoic regions. A third lesion was seen within the upper pole measureing approximately 1 cm with internal calcifications. These lesions also FNA. There is a total of two left and three right nodules fine needle aspirated as described above. Needle access was documented with ultrasound."
I know to use 10022 and 76942 I just wasn't sure if I could bill for all 5 and what modifiers I could use.
Thanks in advance.