Foreign Body removal-Eyelid

Lorisvg

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We had a patient come in complaining of a foreign body in his eye. The doc inverted his eyelid, and removed a "speck" foreign body from his eyelid with a Q-tip. It was not embedded. Would this be part of the E/M, or is there another code to use? Thank you everyone for your help.
 

ndhight

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374.86 would be for the foreign body in eyelid. I would say it is part of E/M code. Look at code 65235.
Nichole
CPC-A
 

Lorisvg

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65235 is for the anterior chamber of the eye (in the eye) this is on the underside of the eyelid
 

jharrell

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I agree with Nicole. The Dr didn't make any type of incision to charge the 65235.

Jessica Harrell, CPC
 

Lorisvg

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I agree that you wouldn't use 65235 - totally the wrong code. I am wondering if there is a code to use on top of the E/M.
 

MsMaddy

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This is not a procedure and the pt came in for that specific reason so it would be just E/M services.

I hope this helped

msmaddy

CPC-A
 

daniel

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Hey you might want to research these codes.

CPT 65205- Removal of foreign body, external eye: Conjunctival superficial

CPT 65220- Removal of foreign body, external eye: corneal, without slit lamp.


I had an article of this service being applied in an ER scenario. The Physician used a Q-Tip to remove a speck from the Cornea. And they direct one to use cpt code 65205 or 65220. Which ever applied to the situtation.
Sorry I don't have the exact reference for you to go look it up your self. That's why I think you might want to do some research on these codes for your own knowledge.

I"ve seen payment for these cpt's in my practice.

CPT 65205- $50.01- Payment by Pacificare
CPT 65220- $39.18- Payment by a PPO

Respectfully
Daniel
CPC


p.s- believe some would say these CPT's only apply if the physician uses a beveled edge of a needle to pick off the speck. Which is true in one case, but I think removal with Q-tip is also justified in using this CPT.
 

emmieg1@yahoo.com

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code 67938 is stating "Incision". By removing FB (speck) after eyelid inversion with a Q-Tip would be part of E/M. No incision was made. I had the same situation. Hope this helps.
 

emmieg1@yahoo.com

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Sorry eveyone. I meant to say 67938 is correct. Dx would be 374.86 and also add V90.1 to V90.9 for the FB. I am sure you got it since 2007. LOL

Thank you.
 
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