Question US Guidance Needle Biopsy?

jifnif

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What codes would you use when you are coding an US Guidance Needle Biopsy of the Thyroid with two separate nodules and 2 needle passes into each lesion? And can you tell me the difference between 10022 and 11100 used with 11101? Thanks so much!!
 

lmontoya

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Our rads usually use 10022 with 76942-26 for FNA of thyroid with US guidance. FNA is removal of cells through a needle and is sent for cytologic evaluation. A biopsy can also be through a needle, but the sample is tissue and sent for histologic evaluation.

You would add a -59 to 10022 for the second lesion and we use -76 for the guidance on the second lesion. This is assigned per lesion, and not by number of passes.

Sorry, can't help with other codes.
 

jifnif

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Thanks, that is how we do it as well. For purposes of studying for my CPC exam I was wondering the difference of the code 11100 and 11101. What situation would this be used in? Thanks. :)
 
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