tci ED Coding & Reimbursement Alert - 2009 Issue 7

READER QUESTIONS : Flushing Confirms Ear FBR

Question: A father brings his 2-year-old son into the ED with an injury to his right ear; the boy was scratching at the ear, which appeared swollen and red. The ED physician performs a level-two E/M, during which she visualizes a foreign body (FB) in the external ear. The physician then performs irrigation to flush out the object and ultimately is able to grab it with alligator forceps under magnification (no mention of anesthesia in notes). The FB was a piece of gravel from a fish tank. Can I code the procedure separately, or is it considered part of...

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