tci Medicare Compliance & Reimbursement - 2010 Issue 11

Part B Coding Coach: Get Your Cut for Soft Tissue FBRs by Looking for Incision Evidence

Complicated FBRs, though rare, pay twice as much as simple ones. Ah, spring. The birds, the bees -- and more soft-tissue foreign body removals (FBRs) for EDs. Remember, the physician removing a foreign body does not necessarily mean you can report an FBR code. Be ready for the splinters, ticks, and other FBs that your ED physician might see with this advice on soft-tissue FBRs.Cut to the Quick on FBR-E/M Decision The rule on soft-tissue FBRs is cut and dried: If the provider does not make an incision during the service, then you cannot code 10120 (Incision and...

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