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Thyroid Coding

Cheryl Posted Mon 15th of August, 2016 10:44:56 AM
I need some clarification of the difference between near total and total thyroidectomy. My surgeon states she completed a near total not a total thyroidectomy because she left a "smidge" of thyroid tissue on the laryngeal nerves. She took all the rest of both lobes and isthmus. Wouldnt this be considered a total thyroidectomy? Does there need to be enough tissue left behind to preserve thyroid function in order to be a near total? Thank you.
SuperCoder Answered Tue 16th of August, 2016 14:13:42 PM

Hi Cheryl,

Near total and total thyroidectomy are almost the same in perspective of coding. The only difference between them is in definition.

  • Near total thyroidectomy: Both lobes are removed except for a small amount of thyroid tissue. Example noncancerous diseases.
  • Total thyroidectomy: Entire gland is removed along with surrounding tissues. Example, done in papillary or follicular carcinoma of thyroid, medullary carcinoma of thyroid.

However, it does not make difference in coding. Code will remain same for both the scenarios.

SuperCoder Answered Tue 16th of August, 2016 14:13:42 PM
our team is working on your question, will get back to you soon.
SuperCoder Answered Thu 18th of August, 2016 01:42:08 AM

Hope it answers your query



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