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Foreign Body Removal

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    Quote Originally Posted by kim.powell42@yahoo.com View Post
    So if a patient presents with a foreign body, such as a piece of glass but there is no "fluid-filled" issues can the 10120 still be billed for the removal?
    My AMA CPT 2018 Standard book explains the following:

    Incision and Drainage
    10120 - Incision and removal of foreign body, subcutaneous tissues; simple

    Other codes in this section specify drainage, but because 10120 does not explain any drainage, I deduct that no drainage is required for this procedure. For removal of a piece of glass with no fluid-filled issues, 10120 should be fine.

    If the patient came in with a complaint of foreign body and the area was fluid filled, then perhaps 10121 - complicated, or a different code might be more appropriate. Perhaps 10120 and 10060 (depending on the scenario).
    "When you have exhausted all possibilities, remember this: You haven't!"
    -Thomas Edison

  2. Default Foreign body removal
    Though codes 10120-10121 appear under the heading of Incision and Drainage, drainage is not required for reporting these codes. Don't take the "and" to be a requirement as this is not intended. For instance, CPT Assistant has advised use of 10120 for removal of cactus spines that required a small incision (December 2013). Cindy

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