tci ED Coding & Reimbursement Alert - 2001 Issue 5

Complicated Versus Simple Foreign Body Removal: Know the Difference Between 10120* and 10121

Because CPT does not offer specific guidelines to distinguish simple from complicated foreign body removal, ED coders may have difficulty choosing between 10120* (incision and removal of foreign body, subcutaneous tissues; simple) and 10121 (... complicated). Supporting the Codes The physicians documentation is most important when determining the level of the removal, and must support the coding during an audit. The coding relies on [the physicians] medical decision-making. I dont feel qualified, nor do I think any other nonclinician should feel qualified, to determine that. If [the documentation] doesnt specify complicated, I wouldnt assume that it was, says Charlene...

To read the full article, sign in and subscribe to tci ED Coding & Reimbursement Alert.

You have ED coding questions, and we deliver money-in-the-bank answers to help you defeat your claim issues and secure optimal reimbursement.

Stay in the know and avoid federal reproach with your subscription to TCI’s ED Coding and Reimbursement Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 2100 articles
  • ALL years/issues back to 1998 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci ED Coding & Reimbursement Alert +Archives

free demo
request yours today
for any budget
sign IN
welcome back!