AAPC - Back to school
Results 1 to 5 of 5

Thread: FNA with guidance

  1. #1

    Default FNA with guidance

    AAPC: Back to School
    One of are Doctors bills
    The second group will sometimes deny as duplicate. Is he billing this appropriately? If not how should it be billed? He insists this is correct. Can someone please advise and provide me with a good source for the proper way to bill so i can let hiim read it. Thank YOu

  2. #2
    Join Date
    Apr 2007
    Jacksonville, FL


    Are they totally different sites? (I'm assuming d/t the "59", but want to double check) As long as the Dr isn't billing "per poke", I would think that 2nd set should be paying.

    Becki, CPC

  3. #3


    While it may be appropriate to report multiple FNA's (10022) for separate lesions/sites...

    The guidance should only be coded once....as per the CCI manual on the CMS website, the unit of service for codes 76942, 77002, 77003, 77012 & 77021 is per patient encounter, not the number of lesions, aspirations, biopsies, injections or localizations.


    Hope this helps,
    Anthony McCallum, CPC, CIRCC, CPC-I, CCS

  4. #4
    Join Date
    Apr 2007
    Stuart Sailfish Chapter


    Great response Anthony!! and Great Link as well ! Kudos
    Candice Fenildo, CPC, CPMA, CPB, CENTC, CPC-I
    AAPC Chapter Association Board of Directors ( Chair)
    Region 6, Wisconsin, Minnesota, Illinois, Indiana, Michigan, Ohio

    "Nothing is stronger than the heart of a volunteer"

  5. #5

    Wink Billing Guidelines for 10022

    The Physician I work for also bills for biopsies:
    We bill the 10022 on one line w/Modifiers 76 & 59 ...We have been being paid by all carriers in full for all units billed . We bill the # of aspirations as units....
    Medicare will only pay 1 and then we appeal with documentation and
    they pay up to four in full, they stated that if there are more thasn 4 nodules we need to submit a letter of medical necessity..I have recently sent in some
    letters, however have not received a response as yet

    Does anyone know what is the correct way of billing the 10022 for multiple units?
    Should they be billed on seperate lines or on one line with appropriate modifiers?

    Any inforamtion anyone has would be greatly appeciated.


Similar Threads

  1. FNA and E&M
    By debnance2@icloud.com in forum ENT/Otolaryngology
    Replies: 1
    Last Post: 03-31-2015, 05:23 AM
  2. Fna 88177
    By tercanb in forum Pathology & Clinical Laboratory
    Replies: 1
    Last Post: 03-12-2015, 09:01 AM
  3. Fna
    By annettebec in forum Pathology & Clinical Laboratory
    Replies: 3
    Last Post: 04-27-2012, 01:51 PM
  4. FNA or BX
    By cjacobs in forum Interventional Radiology
    Replies: 1
    Last Post: 05-10-2011, 06:53 AM
  5. FNA or Biopsy
    By clujan in forum Interventional Radiology
    Replies: 0
    Last Post: 02-02-2010, 02:05 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.