Cytopathology
Palpation guided fine needle aspiration
Documentation and billing in FNA




Topic Completed: 01 August 2013

Revised: 3 January 2019, last major update August 2013

Copyright: (c) 2002-2018, PathologyOutlines.com, Inc.

PubMed Search: Documentation and billing in fine needle aspiration

Page views in 2018: 35
Page views in 2019 to date: 5
Table of Contents
Definition / general
Cite this page: Jakowski J. D. Documentation and billing in FNA. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/cytopathologypgfnadocumentation.html. Accessed January 21st, 2019.
Definition / general
  • To ensure proper documentation for reimbursement for an FNA procedure, the practitioner must document these elements in the medical record:
    • Demographics including facility name, patient name, date and time of exam, etc.
    • Relevant patient clinical information
    • Medical necessity for the examination (including ICD-9 code)
    • Who performed the FNA