Table of ContentsDefinition / general
Cite this page: Jakowski, J. D. Documentation and billing in FNA. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/cytopathologypgfnadocumentation.html. Accessed October 18th, 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