Can anyone please confirm me, whether we can code CPT 76536 along with 76942 for the below procedure as CPT 76536 is most often getting denied with 76942?
Sonographic attention is targeted to the thyroid as follows:
1. Well-defined relatively avascular complex cystic mass
essentially replacing the right lobe measuring 4.2 x 3.0 x 3.7 cm
with irregular soft tissue internal reticulations and innumerable
punctate echogenicities suggestive for colloid. Superimposed
microcalcification is less favored but not entirely excluded. 2.
Fairly well-defined mildly vascular heterogeneously isoechoic
nodule with a mild amount of coarse spongelike cystic change at
the posterior mid to lower lobe measuring 9 x 6 x 7 mm.
Under direct ultrasound guidance fine needle aspiration of the
above-stated lesions was performed by the Doctor at the pathology
service. A total of one pass through each of the above-stated
lesions was obtained. Needle tip positioning within each focus is
demonstrated.
IMPRESSION:
Ultrasound guidance provided for the above FNA procedure.
Sonographic attention is targeted to the thyroid as follows:
1. Well-defined relatively avascular complex cystic mass
essentially replacing the right lobe measuring 4.2 x 3.0 x 3.7 cm
with irregular soft tissue internal reticulations and innumerable
punctate echogenicities suggestive for colloid. Superimposed
microcalcification is less favored but not entirely excluded. 2.
Fairly well-defined mildly vascular heterogeneously isoechoic
nodule with a mild amount of coarse spongelike cystic change at
the posterior mid to lower lobe measuring 9 x 6 x 7 mm.
Under direct ultrasound guidance fine needle aspiration of the
above-stated lesions was performed by the Doctor at the pathology
service. A total of one pass through each of the above-stated
lesions was obtained. Needle tip positioning within each focus is
demonstrated.
IMPRESSION:
Ultrasound guidance provided for the above FNA procedure.