AAPC - Back to school
Results 1 to 7 of 7

Thread: Burr Grinder partial removal of rust ring

  1. #1

    Question Burr Grinder partial removal of rust ring

    AAPC: Back to School
    Patient came into the ER with a foreign body in the eye. The Dr. removed the foreign body with a cotton swab and performed Burr Grinder for partial removal of rust ring. Pt tolerated well. Fluoroscein revealed corneal abrasion.

    I'm looking at 65220 or 65222?

    Any help would be greatly appreciated!

    Julianne Sheetz, CPC

  2. #2
    Join Date
    Apr 2007
    Nashville AAPC Chapter


    65220 Cornea,is without a slit lamp
    65222 Cornea,is with a slit lamp

    What did the MD do?

    You are in the right area for the CPT procedure though.

  3. #3


    Hi Julianne,

    For removal of FB with Cotton swab, we normally dont bill the procedure, please do check with your hospital specifics. But for removal of rust ring, we can code with the CPT -65435.

    Thank You,

    Purnima S, CPC

  4. #4
    Join Date
    Apr 2007


    http://www.aapc.com/memberarea/forum...ad.php?t=36751 I have the same topic posted under the ophthalmology section.

  5. #5


    Thank you all!
    Julianne Sheetz, CPC

  6. #6

    Default Can bill FB removal with cotton swab

    Hi Purnima,

    But we can code the procedure if the Corneal FB is removed using cotton swab. If it is embedded means only we will be in a need of incision.

  7. #7
    Join Date
    Apr 2007


    This is what i found under the CPT assistant

    Surgery: Eye and Ocular Adnexa


    Can code 65435, Removal of corneal epithelium; with or without chemocauterization (abrasion, curettage), be reported for rust ring removal of cornea when no foreign body is found or removed? Donna Allshire, CPC, CPC-H, CPC-I, CEDC, RCC


    No. Since the rust ring is considered foreign to the cornea, the removal is reported either using code 65220, Removal of foreign body, external eye; corneal, without slit lamp, or 65222, Removal of foreign body, external eye; corneal, with slit lamp, as appropriate.

Similar Threads

  1. corneal abrasion with corneal rust ring
    By ggparker14 in forum Diagnosis Coding
    Replies: 1
    Last Post: 08-28-2013, 11:43 PM
  2. Rust Ring Removal
    By cpccoder2008 in forum Ophthalmology/Optometry
    Replies: 11
    Last Post: 10-26-2012, 02:58 PM
  3. Rust Ring Diagnosis Code?
    By elizabeth24 in forum Diagnosis Coding
    Replies: 3
    Last Post: 03-08-2012, 11:57 AM
  4. Removal subdural strip electrode thru burr hole
    By marielad10 in forum Orthopaedics
    Replies: 0
    Last Post: 07-25-2011, 09:37 AM

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.