Surgery: Integumentary System (Bonus Q&A) (December 2013)

December 2013 page 16 Surgery: Integumentary System Question: The patient stepped on a cactus and had a number of cactus spines in his foot. The physician removed the spines from several areas of the toes, and bottom of the foot. The spines, which were approximately 2 mm in length and located in the skin and subcutaneous tissue, were removed with tweezers and some required a small incision for removal. The fascia was not penetrated. The patient was uncooperative, and it took about 20 minutes to remove all the spines. Would this be reported with several units of code 28190...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article addresses a coding question about foreign body removal from the foot and compares integumentary and musculoskeletal CPT code categories in a December 2013 CPT Assistant bonus Q&A format. It is relevant to coders, billers, and clinical documentation staff who need to understand the scope of the guidance and the types of coding issues discussed, including procedure depth, incision use, and separate reporting considerations.

Why This Topic Matters

It helps readers quickly determine whether the article covers CPT guidance for foreign body removal procedures, documentation expectations, and the distinction between procedure categories without revealing the article’s specific coding outcome.

Article Sections

  1. December 2013 page 16

    Introductory page reference for the bonus Q&A item and its coding topic.

What You Will Learn

  • How the article frames a foreign body removal coding question
  • What broad CPT topics are discussed for integumentary procedures
  • How the article compares related procedure categories
  • What documentation themes are emphasized in the guidance

Who Should Read This

  • Medical coders
  • Coding educators
  • Billing staff
  • Clinical documentation staff
  • Revenue cycle professionals

Codes Discussed


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