Wiki thyroidectomy

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karenbennett

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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
 
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
 
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.
 
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.
 
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.
 
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