tci E/M Coding Alert - 2024 Issue Q3

Specialty Spotlight: Eye These Encounter Elements When Coding Ocular FBR

Look closely at the documentation for these clues to determine the right code. A common complaint that brings patients to the eye doctor is the sensation of something stuck in their eye. When this occurs, your ophthalmologist will examine them and perform a foreign body removal (FBR) — provided they find a foreign body (FB). How you code the encounter will depend on several specifics. Details: You’ll have to determine the depth of the wound, the location of the foreign object, and the instrumentation the physician uses to perform the FBR. If you’re ready to master coding...

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