tci ED Coding & Reimbursement Alert - 2008 Issue 7

Reader Questions: If Physician Makes No Incision, Opt for E/M

Question: A patient presents to the ED with shards of glass from a shattered light bulb in his chest. The physician removes the shards and sends the patient home. Is this considered a foreign-body removal (FBR)? Nevada SubscriberAnswer: Maybe -- you-ll have to get more information from the physician before coding this scenario. Even though the physician did remove FBs, it might not be considered an FBR for coding purposes.If the physician had to make a separate incision during the FB extractions, the procedure is an FBR and you should code it with one of the following: -...

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