tci ED Coding & Reimbursement Alert - 2020 Issue Q4

Reader Questions: No Incision? No Reporting 10120

Question: If the surgeon performs a foreign body removal (FBR) with forceps alone during an ED visit, can we report 10120? Minnesota Subscriber Answer: No. You should select a code from the 99281-99285 (Emergency department visit for the evaluation and management of a patient…) E/M code set for this encounter. Explanation: A surgical incision to perform the FBR is a must in order to report 10120 (Incision and removal of foreign body, subcutaneous tissues; simple). If you see no indication of an incision in the notes, leave 10120 off the claim. In the case of 10120, the actual...

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