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Wiki 81545 Oncology Thyroid

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KoBee

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I have a provider who wants to bill for CPT 81545 for documentation below but I think the procedure code should be 10005.

Provider stated " I do Afirma testing (CPT Code 81545) on thyroid nodules that initially come back as “follicular lesion of undetermined significance.” This is a highly specialized test that is different than an actual FNA biopsy as we send out the results to Afirma in San Antonio TX"

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Wouldn't Afirma bill for the lab code 81545, and not the provider?

Anyone familiar on correct coding and billing for this?
 
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