7
Who to bill?
(Table 4)
What
to do if
appeals fail?
(Table 4)
Follow-up Schedule
• Interval for follow-
up US
• Interval for thyroid
function tests
(TFTs)
• Self-performed or
outside institution
Perform
procedure
Collect
payment
Safety
concerns?
*
Unsuccessful
Appeal?
Smooth
progression?
Ensure Set-up for
Procedure
• Equipment (ultrasound
[US], generator, electrode,
O2 monitoring, blood
pressure [BP] cuff)
• Additional disposables
• Appropriate anesthesia
• Adequate staff
Pre-procedural Check
• Diagnostic US
• Voice check
(+/– larynx exam)
• Plain procedural approach
▶ Puncture site
▶ Optimal energy
▶ ? Hydrodissection
▶ ? Vascular ablation