Wiki Punctal Plug Removal

[staudinger]

My doctor wants to charge a foreign body removal for a punctal plug that he did NOT place. My thought is no, he can only charge for the office visit. Does anyone else agree/disagree??? I feel like its the same as a suture removal, doesn't matter who put it there it's not really a foreign body, like metal or wood.

 

[SharonCollachi]

It's not a foreign body.

This article seems to contradict itself; the first paragraph says it's incidental to E&M, the second gives you the codes as if it is not incidental (page numbered 7 of the document; actual page 9):

https://oasismedical.com/docs/default-source/resources/corcoran_plugs-oasis.pdf?sfvrsn=14

 

[Cheezum51]

I would just bill the E/M code OV.

Tom Cheezum, OD, CPC, COPC