Radiology Question for the Week of September 21, 2015

Question:

Question:

We did a thyroid biopsy under ultrasound guidance, and biopsied two separate nodules. Can we assign code 76942 twice?

Answer:

Traditionally, the guidance codes could be assigned per lesion or nodule. However, for the last several years Medicare has published a policy statement saying that the guidance codes 76942, 77002, 77003, 77012, and 77021 could be coded only once per session. Other payers may still allow these codes per lesion or nodule, but not Medicare.

 

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