tci Medicare Compliance & Reimbursement - 2010 Issue 12

Coding Accuracy: Don't Let Foot FBR Definition Fool You

Survey says: Incision required for foot FBR. A girl limps into the ED with a splinter in the back heel of her foot. The non-physician practitioner (NPP) takes a look at the injured area, and pulls the splinter out using tweezers. According to the code descriptors for foot foreign body removals (FBRs), you should be able to report 28190 for the encounter ... right?Not so fast: Many coders feel that even though the CPT descriptor excludes "incision," you should not report 28190 (Removal of foreign body, foot; subcutaneous) unless the provider makes an incision.Be Safe: Apply Soft-Tissue...

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