Retained foreign body

[MSPEAKM]

Can someone please tell me the difference between these three ICD10 codes: the patient has a retained splinter in his right foot: Codes, M79.5,
M60.271 and L92.3 are all foreign body codes. Plus I could add the Z18.33 to identify it was a retained splinter. I am leaning towards the L92.3, but I am not sure. Can someone put their input in this? It would be much appreciated! Thanks in advance!!

 

[solocoder]

L92.3 is for foreign body granuloma. Unless the provider documented a granuloma, you can rule that one out.

 

[danskangel313]

As previously mentioned, M60.271 and L92.3 both indicate foreign body granuloma, so neither would apply unless the documentation states otherwise.

If the patient presents for a simple splinter injury without infection or other trauma (open wound), you would use S90.851A Superficial foreign body, right foot, initial encounter.

Z18.33 has an Excludes1 note: superficial foreign body (non-embedded splinter) - code to superficial foreign body, by site. If you report S90.851A, you would not also report Z18.33.