Parathyroidectomy

mentsa

Contributor
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22
Location
Flowood, Mississippi
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One of our physicians recently did a left thyroid lobectomy on a patient. During the surgery it was found that the parathyroid was enlarged. He then did a left superior parathyroidectomy and sent half to pathology. It was found to be healthy but enlarged to twice the size as normal. At this point he re-implanted the other half of the parathyroid. Our question is, when billing for this procedure, we know to bill for the thyroid lobectomy but we are unsure of how to bill for the parathyroid. Would we bill for a parathyroidectomy alone or would we bill for the reimplantation of the parathyroid also or is there a bundle code for this procedure? Any input on this is greatly appreciated.
 

b.cobuzzi

Expert
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287
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The parathyroidectomy on the same side as the thyroidectomy is bundled. But the reimplantation of the parathyroid is billable in addition to the thyroidectomy, The reimplantation is coded +60512 Parathyroid autotransplantation (List separately in addition to code for primary procedure). This is an add on procedure and should not have it’s fee reduced for multiple procedures.
 
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