Cytopathology
Palpation guided fine needle aspiration
Documentation and billing in FNA

Author: Joe D. Jakowski, M.D. (see Authors page)

Revised: 8 February 2018, last major update August 2013

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

PubMed Search: Documentation and billing in fine needle aspiration

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 February 24th, 2018.
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