paratrachael node dissection w/ thyroidectomy

tlivengo

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Does anyone know what code (if any) to use if the physician performs a paratrachael node dissection at the same time he does a thyroidectomy, cervial approach (60271) ?

My doctor wants to use 38746 but that is for sternal approach not cervical. And he's already got the incision open from performing 60271. I can't find a code that would work and am thinking maybe mod 22 for that extra work?

Thanks for any help,
Teresa
CPC
 

tlivengo

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I'm still wondering if anyone knows of a code that can used for paratracheal node dissection when done with a cervical thyroidectomy.
 
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Based on the fact that the Dr. is doing a paratracheal node dissection, can I presume the diagnosis is cancer? if so, I would bill 60252, otherwise, explain the paratracheal node dissection.

Jennifer
CT ENT
 
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