tci ED Coding & Reimbursement Alert - 2010 Issue 12

Reader Questions: Mind Anatomy on Sub-Q FBRs

Question: I have a puzzling denial in front of me. The ED physician used a scalpel and tweezers to perform complicated splinter removal on a patient's left shoulder. Notes indicate that the subcutaneous removal was preceded by a level-two E/M service. I reported 24200 and 99282-25 and received a denial. Where did I go wrong? Answer: You should have chosen a more accurate code for the foreign body removal (FBR). When you re-submit the claim, report the following: 23330 (Removal of foreign body, shoulder; subcutaneous) for the FBR 99282 (Emergency department visit for the evaluation and management of a...

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