PRE-PROCEDURAL NOTE
PATIENT: Carter, Clara
AGE: 48
DATE: 04/18/2016
PREOPERATIVE DIAGNOSIS: Primary Malignancy, Thyroid
PROCEDURE PLANNED: Thyroidectomy
An female patient, who received a subtotal thyroidectomy two years ago, presented to the operating room today for a complete removal of all the remaining thyroid tissue.
The physician originally treated the patient for a primary malignancy of the thyroid by removing the malignant section of the thyroid. The malignancy has now returned and the patient has elected to have all of the remaining thyroid tissue removed. What is the correct code for this service?
