tci ED Coding & Reimbursement Alert - 2010 Issue 12

Reader Questions: Sidestep Foot FBR Issues If Physician Makes Incision

Question: A patient reports to the ED with a bruised foot that is slightly bloody in the middle bottom area. The physician performs problem focused history and examination, and finds no evidence of trauma beyond the foreign body. After making an incision with a scalpel, the physician uses tweezers to remove a shard of glass from the patient's foot and irrigates the wound using saline solution. How should I code this encounter? Answer: You can report a foot FBR code for this scenario. On the claim, report the following: 28190 (Removal of foreign body, foot; subcutaneous) for the foot...

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