Podiatry Coding & Billing Alert

CCI Update:

28190-28193 Includes Wound Exploration

Your documentation must support the clinical reasons for breaking Correct Coding Initiative bundles. If your podiatrist is in the habit of coding wound explorations separately from foreign body removals, he'd better break that habit quickly -- or risk running afoul of the Correct Coding Initiative (CCI). CCI version 17.3, which takes effect Oct. 1, offers 1,380 new edit pairs and 835 terminated bundles, according to an analysis by Frank Cohen, MPA, MBB, principal and senior analyst with The Frank Cohen Group, LLC. As was the case with the previous CCI edition, the majority of edits impact the codes from the musculoskeletal code range (20000-29999). This round of CCI edits specifies that CPT® code 20103 (Exploration of penetrating wound [separate procedure]; extremity) is now included in: 28190 (Removal of foreign body, foot; subcutaneous) 28192 (... deep) 28193 (... complicated). Background: Generally, explorations of this type occur when the patient experiences a "penetrating" [...]
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