tci ED Coding & Reimbursement Alert - 2024 Issue Q3

You Be the Coder: Simple or Complicated FBR?

Question: A patient reports to the ED after falling into a pile of branches while landscaping. The patient reports pain in their right pectoral area, and there is significant trauma there. The ED physician performs a physical exam, then decides to debride the wound to remove damaged tissue. After spotting a pair of wood fragments in the patient’s chest, the ED physician incises the right pectoral and removes them. How should I report this encounter? Is this a simple or complicated foreign body removal (FBR)? AAPC Forum Subscriber Answer: This encounter has all the markings of a complicated...

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