ICD 10 Coding Alert

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ICD-10 and Foreign Body Removal Claims

Question: For foreign body removals embedded in the skingranuloma, we apply ICD-9 code 709.4 as the dx for these services. What changes can we expect to see in ICD-10?

Wisconsin Subscriber

Answer: For a foreign body embedded in a granuloma of the skin and subcutaneous tissue, you should use the appropriate code from one of the two code sets:

  • ICD-9: 709.4 (Foreign body granuloma of skin and subcutaneous tissue)
  • ICD-10: L92.3 (Foreign body granuloma of the skin and subcutaneous tissue).

Tip: Look for 'Additional Code' crosswalk. An ICD-10 note following L92.3 instructs you to "Use additional code to identify the type of retained foreign body (Z18-)."

Prior to 2011, you didn't have any additional codes to report with 709.4 for ICD-9. But you'll find a new text note, along with 14 new V codes in ICD-9 2011 that parallel ICD-10. The new ICD-9 note states, "Use additional code to identify foreign body (V90.01-V90.9)."

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