tci ED Coding & Reimbursement Alert - 2007 Issue 7

Grab More Reimbursement for Some FBRs

Look for these op note details to spot a complicated soft-tissue FBRWhile patients typically don't present to the ED with complicated FBs, there is always a chance a physician may be called on to perform a complicated soft-tissue FBR. When this occurs, you should code the service with 10121 (Incision and removal of foreign body, subcutaneous tissues; complicated).What to look for: Complex FBRs will often involve radiographic guidance, says Michael A. Granovsky, MD, CPC, FACEP, president of Medical Reimbursement Systems Inc. (MRSI), an ED billing company in Stoneham, Mass. A complex soft-tissue FBR may also involve localization techniques...

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