Results 1 to 7 of 7

Removal foreign body, foot

  1. #1
    Default Removal foreign body, foot
    Medical Coding Books
    The Doctor says 10121 and 11042, but I do not really see the debridement done in this procedure. I was going to do only 10120, but it's not covered. Any input would be appreciated! Thanks!

    POSTOPERATIVE DIAGNOSIS: Foreign body, left foot (infected, painful).

    NAME OF OPERATION:1. Removal of foreign body, left foot.
    2. Debridement and irrigation of superficial abscess.

    EXPLANTS: A 1 x 1 mm BB times one.

    PROCEDURE: An 0.5 cm incision was made over the area of erythema. A hemostat was then placed in the wound after blunt dissection. The BB was identified and removed. The patient then underwent copious irrigation. Prior to the irrigation, the patient had multiple cultures obtained and these were sent for aerobic and anaerobic culture and sensitivity. He was then copiously irrigated and closed with 4-0 nylon in a non-tensioning, everting fashion. He was then dressed sterilely consisting of Xeroform, 4 x 4s, Webril, Kling, and Coban.

  2. #2
    Columbia, MO
    I agree with the 10120. I see no debridement and the irrigation is inclusive with the removal of the foreign body.

  3. #3
    Take a look at 28190 through 28193

  4. #4
    North Carolina
    I do think 28190 is a better fit (foreign body removed-a BB). Just a side note...I do not equate debridement with copious irrigation. If debridement is omitted from the body of the op note, I look for other "terms" to suggest that the debridement was performed.
    Rebecca CPC, CPMA, CEMC

    Your click COUNTS...

    CLICK to give FREE mammograms!

  5. #5
    Columbia, MO
    I will agree with Rebecca, I had not looked at that code and agree it is a better fit.

  6. #6
    I also agree with 28190

  7. #7
    Thanks for all the input y'all! That's wonderful to have so much agreement! I was at first thinking maybe I should use 10121 because of the infection, and then I realized it did not really complicate the procedure, so I will go with 28190. Thanks again!

    P.S. I needed to tell you that this BB was sitting there for 17 yrs!
    Last edited by martnel; 05-21-2009 at 12:38 PM.

Similar Threads

  1. Foreign body foot
    By vcheekati in forum General Surgery
    Replies: 1
    Last Post: 11-06-2015, 11:05 AM
  2. Multiple Foreign Body removal-foot
    By twosmek in forum Orthopaedics
    Replies: 2
    Last Post: 05-24-2012, 12:42 PM
  3. ICD 9 code for Foreign body foot
    By amanda_rupansingh in forum Family Practice
    Replies: 3
    Last Post: 02-17-2011, 09:37 AM
  4. removal foreign body
    By njbrown in forum ENT/Otolaryngology
    Replies: 1
    Last Post: 10-08-2009, 01:25 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.