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Thread: FNA coding help

  1. #1
    Join Date
    Apr 2007

    Thumbs up FNA coding help

    AAPC: Back to School
    Our physician saw patient in the office for fine needle aspiration for thyroid nodule. I billed: 10022, 76942-26, 88172 with icd9 241.0. Billed procedure to Anthem and they processed claim with large adjustment off. I called Anthem & was advised that they could not tell me how to bill but keep reiterating the phrase "it is how you billed the procedure". This appears correct to me but have been told that it is not necessary to bill 88172. I would appreciate any input you guys have.

  2. #2
    Join Date
    Apr 2007
    Dover Seacoast New Hampshire


    Is your physician also doing the cytopathology in the office, or do you send out the specimen? If you're sending it out, don't bill the 88172, that's the pathologist's charge.

  3. #3
    Join Date
    Apr 2007


    she is doing the FNA and preparing the slides to send to the path to stain, etc and then she follows up with the pathologist for findings. I still do not believe that standing by the pathologist warrants billing for 88172. Any input from everyone would be greatly appreciated as to how your office handles this.

  4. #4

    Smile Yarnell H. McGee, RN, BSN, CPCM, CPUR, CPC

    I need help with coding Thyroid Nodule Gene Analysis.



  5. #5
    Join Date
    Apr 2007
    Columbus, OH


    If your physician is doing the procedure in the office, does she own the US equipment? If so, then it looks to me like the billing should be;

    10022 and 76942

    The 88172 should not be billed.

    Just my two cents.
    Terri Winsor, CPC, CCC

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