tci ED Coding & Reimbursement Alert - 2014 Issue 2

Reader Question: Don't Turn A Deaf Ear To A Separate Ear FBR Removal Code

Question: A father brings his 2-year-old son into the ED with an injury to his right ear; the boy was scratching and pulling at the ear, which appeared swollen and red. The ED physician performs a level-two E/M, during which she visualizes a foreign body in the external ear canal. The physician then performs irrigation to flush out the object (no mention of anesthesia in notes). A small pebble was removed of the type found on the playground at the child’s daycare center. Can I code the procedure separately, or is it considered part of the E/M? Massachusetts...

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