tci Part B Insider - 2010 Issue 3

READER QUESTION: Nail Down Whether to Report Foreign Body Removal Versus E/M

Know whether your documentation meets the descriptors of 65205 or 65210 or if you should simply bill an office visit code. Question: A 75-year-old established patient with cataracts in her right eye reports to our doctor witha swollen and red right eye. The primary care physician performs an expanded problem focused history and expanded problem focused exam, and discovers "dust particles" clogging the patient's eyelid and conjunctiva. Using a few saline eye drops, the physician removes the particles, bandages the patient's eye, and sends her home. Can I report a foreign body removal (FBR) for this encounter? Answer: This...

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