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:
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)."