Advanced Search

Pediatric Coding Alert

Reader Question:

Splinter Removal

Published on Sat Sep 01, 2001

Question: How can we get paid fairly for extra time spent removing a splinter?

Wyoming Subscriber  
Answer: The code for splinter removal is CPT 10120 (incision and removal of foreign body, subcutaneous tissues; simple). If the time required to remove the splinter is excessive, append modifier -22 (unusual procedural services) and provide supporting documentation. Or, bill the higher-level splinter removal code, 10121 (... complicated). Code 10121 is not to be used for removal that takes more time, only for a removal that is more complicated. For example, sometimes a splinter is much deeper than it first appears, in which case 10121 is appropriate.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Pediatric Coding Alert

View All