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thyroidectomy

  1. Lightbulb thyroidectomy
    Medical Coding Books
    Please help me make sure I am correct in coding this:

    total thyroidectomy on left side w/ removal of isthmus
    subtotal thyroidectomy on right side
    nim monitor use


    60220
    60271-59
    95865


    not really sure if I should just code one or both thyroidectomies?

    thanks

  2. #2
    Default Thyroids can be tricky
    Since it shows (from what information you gave) that the total Thyroid was not removed you can not code 60271(no substernal thyroid gland removed) I would look at using 60220 for the total Thyroidectomy on left side w/ removal of isthmus. Then I would look at the code 60210 for the subtotal Thyroidectomy on right side with 59 on this code. ON the monitoring if the Doctor performed NIMS I use 95920 and 95867 with modifier 26 I hope this helps

  3. Default
    Yes this helps greatly. Is it ok for the surgeon to code 95920, I have been told before that the surgeon cant bill this? Just wondering maybe I need to review this again.

  4. #4
    Default
    I haven't had a problem and since I use the modifier 26 insurance pays it except MCD,MCR, Tricare. They don't pay for any monitoring.

  5. #5
    Default monitoring
    actually my Docs Don't do much monitoring with a Throidectomy. But the codes I gave you are the typical codes I use for the other monitoring we do.

  6. #6
    Location
    Tuscaloosa, AL
    Posts
    92
    Default
    60225 - Thyroid lobectomy (left in this case) with contralateral subtotal lobectomy (right), including isthmusectomy
    Jerri, CPC

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