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tci ED Coding & Reimbursement Alert - 2006 Issue 6

Reader Questions: Capture Complete Eyewash Service With E/M Code

Question: A patient who had a chemical splashed in her eye came to the emergency department, and the nurse irrigated the patient's eye. Can we charge for removal of a foreign object from the eye?Florida Subscriber Answer: No. You should not report a foreign-body removal code, since the patient received an eyewash. FBRs (65205, Removal of foreign body, external eye; conjunctival superficial) require more work and time than a simple eyewash entails. Try this: Report the appropriate-level evaluation and management code for the service.  Typically, the physician may prescribe a mild antibiotic for a few days...

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