This sent me to the index of my CPT® book, and there are a number of places in addition to the foot that have specific removal of foreign body codes. I found them under: I'm stuck!! Foreign body removal is part of an E/M service, unless there is an incision made at the same time. The fact that she needed loops is also meaningless. Terms 10120 and 10121 are correct for foreign body removal, soft tissue, except in the foot. That is a good question! I believe Dr. Pedowitz gave her an incorrect code for this procedure. I'm interested in how others would code an in-office removal of a superficial foreign body? I scheduled the patient the next day for the surgical center, and using a C-arm, I removed the needle uneventfully. Please note that the opinions expressed here do not necessarily reflect those of AAPC. Privacy, innoviHealth® - 62 E 300 North, Spanish Fork, UT 84660 - Phone 801-770-4203 (9-5 Mountain). Thanks], Do have a difference between just hand or fingers and which finger, Home Help! Loooking for first coding job. Codingline Response: I would recommend CPT 28190 (removal of foreign body superficial foot) as the appropriate code. 28190 -Removal of foreign body, foot; subcutaneous Soft Tissue Fishhooks • String Technique • Retrograde Technique No applicable CPT codes Soft Tissue Fishhooks Needle Cover Technique MCEP Straight Talk 2017 (C) ERcoder, Inc www.ERcoder.com. After taking x-rays, I administered local anesthesia, and, without fluoroscopy, I attempted to remove the foreign body -- but was unable to. For incision and removal of foreign body in a foot use codes from the section 28190 through 28193. About How would you bill this? I'll look in the CPT Assistant later today. Removal H..E..L..P well woman DX coding. Code 28190, the code he suggested, implies that a foreign body entered the skin, and the skin completely healed over it, requiring incision into the skin, exploration and removal of the object. Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. She tried to find the object, but was unable to. 0 Votes - Sign in to vote or reply. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Neither is described in the AMA's CPT Reference of Clinical Examples. The needle was buried deep in the foot (subfascial plantar surface). Contact Website Design by S. Kloos Communications Inc. ASC billing, Vascular Coding - Mechanical Thrombectomy, CCS,CPC,ICD 10 Coder Seeking Part Time Work. Pathology Services not being paid by insurances. Foreign body Like 28190, code 10120 involves foreign body removal, which is not applicable, and refers to subcutaneous tissues, which isn't mentioned in your question. What cpt code do I use for this? Documentation guidelines for billing Doppler/Color... Cholangiogram/plasty, biopsy, stone removal, CPC-H-A looking for position or Xternship. 0 Votes - Sign in to vote or reply. All times are GMT -6. The National Center for Biomedical Ontology was founded as one of the National Centers for Biomedical Computing, supported by the NHGRI, the NHLBI, and the NIH Common Fund under grant U54-HG004028. Dr Miller's procedure is more like 10120. The time now is 03:35 PM. Some are obvious: kidney, pharynx, pleura, etc. Codingline Response: For the date of the initial attempt at removing the foreign body, I would bill the appropriate E/M service and x-ray study as documented in the patient chart. Thanks. Codes that are considered "Components" are incidental to the codes considered to be "Comprehensive" and will be denied as such. [Thank you!! Dr. Miller asked for proper coding for removal of a foreign body through probing of the superficial skin, with sharp instrumentation using loops. Since it was done in your office, you would be eligible for 'non-facility' RVU. 28190 has 5.98 RVUs and 10210 has 3.33 RVUs. If the wound exploration is more superficial, consider using 10120. Then, the location. There are other codes for muscle and bone. I found them under: I saw a new patient in the office with a foreign body left foot (sewing needle). A foreign body, say a piece of glass in the skin layers (doesn't penetrate any deeper) is noted and removed. Removal Some are obvious: kidney, pharynx, pleura, etc. CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. 28193 - CPT® Code in category: Removal of foreign body, foot. Personally, I would not bill for the failed attempted at localizing and removing the foreign body on that date. Our members may discuss various subjects … For services performed the next day, I would bill CPT 28192-LT for the "removal of foreign body, foot; deep" left foot. Help with Transrectal excision of large rectal polyp, injection on same limb for two separate dx, Welcome to Medicare visit and annual visit, Need help with axillary excision (CPT code????).