tci ED Coding & Reimbursement Alert - 2008 Issue 10

You Be the Coder: Check Hand or Foot Before Coding FBR

Question: A patient with a splinter reports to the ED. After a level-two E/M, the physician uses a needle to make an incision and remove the splinter from the patient's right foot. The insurer rejected 10120 as mismatching the diagnosis. Should I appeal the denial? North Dakota Subscriber Answer: Before sending in a claim for foreign body removal (FBR), make sure you have assigned the most specific code for the anatomical area treated. For a foot FBR, CPT contains a specific code. You should re-submit the claim with the following: - 99282 (Emergency department visit for the evaluation and...

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