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ICD-10 Coding for Endoscopic Ultrasound-Guided Fine Needle Biopsy of the Liver(0FJD8ZZ)

Complete ICD-10-CM coding and documentation guide for Endoscopic Ultrasound-Guided Fine Needle Biopsy of the Liver. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

EUS-FNB of the LiverEndoscopic Liver Biopsy

Related ICD-10 Code Ranges

Complete code families applicable to Endoscopic Ultrasound-Guided Fine Needle Biopsy of the Liver

0FJD8ZZPrimary Range

Excision of liver, diagnostic, via natural orifice endoscopic

This code is used for endoscopic ultrasound-guided fine needle biopsy of the liver.

Key Information: ICD-10 code for EUS-guided liver biopsy

Essential facts and insights about Endoscopic Ultrasound-Guided Fine Needle Biopsy of the Liver

The ICD-10 code for an endoscopic ultrasound-guided liver biopsy is 0FJD8ZZ.

Primary ICD-10-CM Code for procedure endoscopic ultrasonography fine needle biopsy of liver

Excision of liver, diagnostic, via natural orifice endoscopic
Non-billable Code

Decision Criteria

clinical Criteria

  • Presence of elevated liver enzymes and imaging findings

documentation Criteria

  • Detailed procedure note including needle type and biopsy site

Applicable To

  • Endoscopic ultrasound-guided liver biopsy

Excludes

  • Percutaneous liver biopsy

Clinical Validation Requirements

  • Elevated liver function tests
  • Indeterminate liver lesion on imaging

Code-Specific Risks

  • Incorrect documentation of needle type
  • Failure to specify biopsy site

Coding Notes

  • Ensure documentation includes needle gauge, number of passes, and anatomical route.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Endoscopic ultrasound with fine needle aspiration/biopsy

43259
Use when EUS includes FNA/FNB of the liver.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Percutaneous liver biopsy

47000
Use 47000 for percutaneous approach, not endoscopic.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Endoscopic Ultrasound-Guided Fine Needle Biopsy of the Liver to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code 0FJD8ZZ.

Impact

Clinical: Inaccurate clinical records, Regulatory: Potential audit issues, Financial: Delayed reimbursement

Mitigation Strategy

Standardize procedure note templates, Include checklist for documentation

Impact

Reimbursement: Denial of payment for 76942, Compliance: Non-compliance with NCCI edits, Data Quality: Inaccurate coding data

Mitigation Strategy

Do not bill 76942 separately as it is included in 43259.

Impact

Incomplete documentation of EUS-FNB procedures.

Mitigation Strategy

Implement comprehensive documentation templates.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Endoscopic Ultrasound-Guided Fine Needle Biopsy of the Liver, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Endoscopic Ultrasound-Guided Fine Needle Biopsy of the Liver

Use these documentation templates to ensure complete and accurate documentation for Endoscopic Ultrasound-Guided Fine Needle Biopsy of the Liver. These templates include all required elements for proper coding and billing.

EUS-FNB of liver with immediate cytopathology

Specialty: Gastroenterology

Required Elements

  • Needle gauge
  • Number of passes
  • Anatomical route
  • Specimen handling

Example Documentation

Linear echoendoscope advanced to duodenal bulb. Under Doppler guidance, 19G needle inserted via transduodenal approach to right hepatic lobe. Three fanning actuations with 10cc suction. Four tissue cores preserved in formalin.

Examples: Poor vs. Good Documentation

Poor Documentation Example
EUS-guided liver biopsy performed.
Good Documentation Example
Linear echoendoscope advanced to duodenal bulb. Under Doppler guidance, 19G needle inserted via transduodenal approach to right hepatic lobe avoiding gallbladder fossa. Three fanning actuations with 10cc suction. Four tissue cores (2.3 cm aggregate) floated in formalin. Immediate adequacy confirmed by cytopathologist.
Explanation
The good example provides detailed procedural information, including anatomical route and specimen handling, which is necessary for accurate coding and billing.

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