• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Foreign body removal, no incision, modifier 52?

Messages
105
Location
Village of Lakewood, IL
Best answers
0
Hello! This is my first post :)

I have a question regarding 10120 foreign body removal. I am aware that the description of this code includes an incision. My practice has told me that I can code 10120 with a modifier 52 when no incision is made, but there is a foreign body removal. Could someone clarify the use of modifier 52 and if this is appropriate in this situation? Here is the documentation that I'm questioning:

"Left foot: hardened skin with black center. Started washing foot with sure cleanse and gauze; black center washed out and it was a splinter, patient tolerated well."

Thanks in advance.
 
According to the AMA - non-incisional removal of a foreign body from the skin and subcutaneous tissue is considered to be part of the E&M code and is not reported separately.

AMA Dept. of Coding and Nomenclature
 
Hi Paulcado - thanks for your response! I am aware of that rule, however, I'm wondering when it would be appropriate to use modifier 52 for CPT 10120? And if it is appropriate in the example I gave?
 
Top