Three significant changes that will affect reimbursement rates go into effect January 1, 2026:
Conversion factor changes
Relative Value Unit (RVU) efficiency adjustment
Practice Expense changes
If you're a Find-A-Code subscriber, there's no need to worry. Find-A-Code's fee calculators are ready for the change. You can count on Find-A-Code for the most complete and accurate information you need as a medical coder/biller.
tci ED Coding & Reimbursement Alert - 2006 Issue 1
Reader Questions: Separate Ankle From Foot
Question: I received documentation stating:-Patient presented with small needle embedded in ankle. Physician used a C-arm (portable fluoroscopy unit) to help localize the foreign body. Made incision and located foreign body using needles placed in two planes. Grasped foreign body, removed it, irrigated wound and applied dressing.- How should I report this?Pennsylvania Subscriber
Answer: The correct code for this procedure is 10121 (Incision and removal of foreign body, subcutaneous tissues; complicated). Beware: While 28190 (Removal of foreign body, foot; subcutaneous), 28192 (- deep) or 20103 (Exploration of penetrating wound [separate procedure]; extremity) might seem appropriate initially...
To read the full article, sign in and subscribe to tci ED Coding & Reimbursement Alert.
You have ED coding questions, and we deliver money-in-the-bank answers to help you defeat your claim issues and secure optimal reimbursement.
Stay in the know and avoid federal reproach with your subscription to TCI’s ED Coding and Reimbursement Alert.
Current newsletters added each month
Fully searchable archives - over 2100 articles
ALL years/issues back to 1998 organized by year and issue
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.
Quick, Current, Complete - www.findacode.com