cpccoder2008
True Blue
A patient come in with a fish hook through cheek, the physician removed it, is there a cpt code for this ?
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Wiki FB removal
- Thread starter cpccoder2008
- Start date
jmoore3
Guest
If the provider didn't make an incision to remove it, then the removal is part of the E/M service. Here is a forum that I found that explains this as well 
Hope this helps!
https://www.aapc.com/memberarea/forums/showthread.php?t=4605
Jessica, CPC-A
Hope this helps! https://www.aapc.com/memberarea/forums/showthread.php?t=4605
Jessica, CPC-A
vjtiwari99
Guru
Hey,
If this is subcutaneous foreign body then try 10120 with 910.6 as ICD dx.
Hope this helps!
VJ.
If this is subcutaneous foreign body then try 10120 with 910.6 as ICD dx.
Hope this helps!
VJ.
mitchellde
True Blue
10120 states the physician must make an incision so it really depends on the documentation. If no incision is made the I agree it is part of the E&M if an incision is made then it depends on how deep he had to go to remove the fb. When you say through the cheek it is unclear if you mean from the outside to the inside of the mouth. This could be extremely simple to very complex so more information is needed.
grovey
Guest
If the doctor states he backed the fish hook out (barb is backed out), this can be considered cutting
for FB removal.
for FB removal.
mitchellde
True Blue
No it is not the same thing as making an incision. If he makes an incision close to the hook in order to be able to remove it then Ok but if he just backs it out then no it is not the same.
OCD_coder
True Blue
Both Dennis Beck, MD and Michael Granovsky, MD, who are leading authorities in ED medicine agree that an incision must be made in order for foreign body removal.
Also, in the Ingenix Procedures book it clearly states for FB removal ....the physician makes an incision... so there is your written proof.
Also, in the Ingenix Procedures book it clearly states for FB removal ....the physician makes an incision... so there is your written proof.
Last edited:
RebeccaWoodward*
True Blue
I have seen some scenarios where the provider simply clipped one end of the fish hook and then pulled it out.
sam_son
Networker
FB
Hi
For FB removal if it is removed by physician with some instruments is used and local anesthesia is documented , and if incision is not made - we are using 10120 with 52 modifier.
regards
Hi
For FB removal if it is removed by physician with some instruments is used and local anesthesia is documented , and if incision is not made - we are using 10120 with 52 modifier.
regards
cpccoder2008
True Blue
Yes, the hook is completly through the cheek from outside in, the physician removes it with some instruments and local anesthesia. I think he clips it and pulls backwards. NO incision is made, just pulled out. thanks
mamabird52803
Guest
873.51 is a complicated face wound(complicated includes fb) Since no incision was made I would'nt code any fb removal procedure.
Erica,CPC
Fishkill,NY
Erica,CPC
Fishkill,NY