Total Thyroidectomy with Re-Implant of a Parathyroid Gland

Total Thyroidectomy with Re-Implant of a Parathyroid Gland

February 20, 2020

Question:
In the past, when I did a total thyroidectomy and I needed to re-implant a parathyroid gland I would also code 60512.  I am now being told by my coders that I cannot code 60512 if I implant a parathyroid gland in the sternocleidomastoid muscle.  They say I can only charge it if I make a separate incision to implant it.  Is this correct? If not can you give me some information to show the coders.

Answer:
Yes, the coder is correct – if the re-implant is performed through the same surgical incision then you cannot separately code it.  If it is performed through a separate surgical incision (e.g., arm) then you can separately report 60512.  There was a CPT Assistant, published by the AMA, about this a few years ago.  You can contact the AMA if you’d like to purchase a hard copy.

*This response is based on the best information available as of 2/20/20.

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