Oncology & Hematology Coding Alert

Question: The physician performed a fine needle aspiration and then a needle biopsy of the same lesion at the same session. May I report both?Codify MemberAnswer: The answer depends on why the physician performed both procedures (and, as always, the individual payer policy matters, too).For Medicare and other payers who follow Correct Coding Initiative (CCI) policies, you should report both services only if the fine needle aspiration (FNA) specimen isn't adequate and therefore there is medical necessity for another type of biopsy. The CCI Policy Manual gives this rule in Chapter 3, Section 10 (www.cms.gov/NationalCorrectCodInitEd/). Straight from the source: "Fine needle aspiration (FNA) (CPT codes 10021 [Fine needle aspiration; without imaging guidance], 10022 [...with imaging guidance]) should not be reported with another biopsy procedure code for the same lesion unless one specimen is inadequate for diagnosis. For example, an FNA specimen is usually examined for adequacy when the specimen [...]