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...

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