tci ED Coding & Reimbursement Alert - 2007 Issue 5

You Be the Coder: Choosing Between Simple, Complicated FBR Codes

Question: A patient presents complaining of arm and finger pain, contusions to her upper arm and shoulder, and a glass splinter embedded beneath the skin on the right index finger. After taking an expanded problem-focused exam and expanded problem-focused history, the physician makes one incision over the FB site, permitting removal of the glass with splinter forceps. The area is then cleaned and secured with steri-strips. Is this a simple or complicated foreign-body removal?Hawaii SubscriberAnswer: This encounter sounds like a simple FBR. Even though CPT offers no exact definition of -simple- or -complicated- FBRs, most payers will consider...

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