ED Coding and Reimbursement Alert

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Check Out These Dx Codes for Eye FBRs

Some, but not all, diagnoses are acceptable for conjunctival and corneal FBRs.

When your ED physician performs a foreign body removal (FBR) from a patient’s eye, you’ll need to include spot-on ICD-10 coding to prove medical necessity for the procedure.

Check out this list of diagnosis codes that are commonly used on conjunctival/corneal FBR encounters. Some can be used on both pairs of FBR codes listed below, while others will only be used on one type of eye FBR: conjunctival or corneal.

Note: This is not a comprehensive list of diagnosis codes that are acceptable for eye FBR codes. Further, appearance on this list does not guarantee that they will be appropriate for every eye FBR encounter you see. Always code to the notes, and check your payer contract for its acceptable list of codes for eye FBRs.

Look to These Codes for 65205, 65210

When the ED physician performs a conjunctival FBR, you’ll code the surgery with either 65205 (Removal of foreign body, external eye; conjunctival superficial) or 65210 (… conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating). Here’s a list of some of the ICD-10 codes that could accompany 65205 or 65210:

  • H02.81- (Retained foreign body in eyelid)
  • H10.82- (Cysts of eyelid)
  • H11.12- (Conjunctival concretions)
  • H59.35- (Postprocedural seroma of eye and adnexa following an ophthalmic procedure)
  • T15.10XA (Foreign body in conjunctival sac, unspecified eye, initial encounter)
  • T15.11XA (Foreign body in conjunctival sac, right eye, initial encounter)
  • T15.12XA (Foreign body in conjunctival sac, left eye, initial encounter)
  • T81.41XA (Infection following a procedure, superficial incisional surgical site, initial encounter)
  • T81.523A (Obstruction due to foreign body accidentally left in body following injection or immunization, initial encounter)
  • Z18.09 (Other retained radioactive fragments)
  • Z18.10 (Retained metal fragments, unspecified)
  • Z18.11 (Retained magnetic metal fragments)
  • Z18.2 (Retained plastic fragments)

Look to These Codes for 65220, 65222

When the ED physician performs a corneal FBR, you’ll code the surgery with either 65220 (… corneal, without slit lamp) or 65222 (… corneal, with slit lamp). Here’s a list of some of the ICD-10 codes that could accompany 65220 and 65222:

  • H02.81-, H11.12-, H57.89, H59.35- (Codes for retained foreign body in eyelid)
  • T15.0- (Foreign body in cornea)
  • T81.523- (Obstruction due to foreign body accidentally left in body following injection or immunization)
  • T86.840- (Corneal transplant rejection)
  • T86.841- (Corneal transplant failure)
  • T86.842- (Corneal transplant infection)
  • T86.848- (Other complications of corneal transplant)
  • T86.849- (Unspecified complication of corneal transplant)
  • Y77.11 (Contact lens associated with adverse incidents)
  • Z18.09, Z18.10, Z18.11, Z18.2. (Codes for retained foreign body fragments).