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Alicia: Alright. This one isn’t very hard once you know where to look, but I actually had to Google to get some more information because I couldn’t find it. And again, Laureen probably could have done this one and done it much faster and better than I did because she’s much better at CPT than I am. But the question was, Is there a thyroid profile or is it build separately?

A: Actually one of the great places as I pull the screen over, Quest Diagnostic is a company that does a lot of lab work and they have really good information, that’s where I got this. So, first let’s break it down, there is CPT code Quest Diagnostic 4A, and I changed this, is a thyroid panel, not a profile, so that will give you some troubles if your verbiage is off just a little bit. They were telling me for a thyroid panel, these are the two codes that they use: 84436 and then 84479, and those include, and it goes in to detail what tests are included in that. I went in and found the explanation for 84436, which gives you all of these, it tells you what it does and what it doesn’t do for that particular code and it tells you why this test is performed. Neonates get this test, which I thought was very, very interesting.

Thyroid Medical Coding Profile – Video

Then, 84476 being explained, again, this has your T3 and T4s. The reason they used these abbreviations is because nobody can really actually in real life pronounce this term, and so they abbreviate that stuff, and you know T-thyroid it’s not as bad as you think. That wasn’t the most common. I remember seeing thyroid panels and they usually have this TSA with them – it’s always with TSA. So, I thought, well there’s this specific code for that that Quest Diagnostic had, so I thought I remember seeing that.

Then, that is the other two panels with this additional test run, a thyroid stimulating hormone or TSH, which is a TSA. So, you get all of those other two plus this thyroid stimulating, and it tells why they do this in this description right here, that if patients with symptoms of weight gain, tiredness, dry skin; so they’ll do this to see what is the problem. One of them has to do with endocrine. The pituitary is messed up and the other ones have to do with the thyroid itself, I believe. So, to determine actually what the problems is, if they know there’s possibly a problem with thyroid, they break it up and do all of those tests and they billed the top two codes together. In my impression of what that’s saying is that if you have those – if you’re going to do a thyroid profile, you use those first two codes. If you’re going to do a thyroid profile with a TSA or TSH, then you do, you add it. There’s three codes together, not one code that encompasses all of them, and they’re all in that same section. If you can’t find it, you can’t do it for the test go Google it – thyroid profile – and boom, boom, boom! It’s amazing all the stuff that came up.

More Related Information about Thyroid Medical Coding

CPT code for thyroidectomy- VIDEO
AAPC – Abnormal Thyroid

thyroid medical coding

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2016-11-20T23:37:54+00:00

About the Author:

AliciaScott-Instructor
Alicia has been working in the medical field for over 20 years. She first learned about medical coding while working in a medical records department at a resort town hospital near where she was raised. Through the years she has held several jobs in the medical field from, CNA, EMT, Pharmacy technician and Medial Records Abstractor and Analyst. Outside of the medical field she has worked as a Real Estate agent, and owned her own on-line retail business. The medical field has always been where she felt the most comfortable. Alicia has taught medical coding, billing and medical law and ethics at a private college. She also did contract work in HCC Risk Adjustment and discovered she really enjoyed ICD work. Because she loves to learn Alicia is working towards her Masters in Health Care Administration with an emphasis on education. Having taken many online classes through the years to complete her degree she feels very comfortable with both face to face and on-line learning. Alicia will tell you that not only does she love medical coding but she has a passion for teaching it. Alicia lives in the middle of Texas with her husband who is a Pastor, five of her six children, three dogs and two cats.

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