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Thread: Foreign Body removal-Eyelid

  1. #1

    Default Foreign Body removal-Eyelid

    We had a patient come in complaining of a foreign body in his eye. The doc inverted his eyelid, and removed a "speck" foreign body from his eyelid with a Q-tip. It was not embedded. Would this be part of the E/M, or is there another code to use? Thank you everyone for your help.

  2. #2
    Join Date
    Apr 2007
    Location
    Kokomo
    Posts
    72

    Default

    374.86 would be for the foreign body in eyelid. I would say it is part of E/M code. Look at code 65235.
    Nichole
    CPC-A

  3. #3

    Default

    65235 is for the anterior chamber of the eye (in the eye) this is on the underside of the eyelid

  4. #4

    Default

    I agree with Nicole. The Dr didn't make any type of incision to charge the 65235.

    Jessica Harrell, CPC

  5. #5

    Default

    I agree that you wouldn't use 65235 - totally the wrong code. I am wondering if there is a code to use on top of the E/M.

  6. #6

    Smile

    This is not a procedure and the pt came in for that specific reason so it would be just E/M services.

    I hope this helped

    msmaddy

    CPC-A

  7. #7
    Join Date
    Apr 2007
    Posts
    518

    Default

    Hey you might want to research these codes.

    CPT 65205- Removal of foreign body, external eye: Conjunctival superficial

    CPT 65220- Removal of foreign body, external eye: corneal, without slit lamp.


    I had an article of this service being applied in an ER scenario. The Physician used a Q-Tip to remove a speck from the Cornea. And they direct one to use cpt code 65205 or 65220. Which ever applied to the situtation.
    Sorry I don't have the exact reference for you to go look it up your self. That's why I think you might want to do some research on these codes for your own knowledge.

    I"ve seen payment for these cpt's in my practice.

    CPT 65205- $50.01- Payment by Pacificare
    CPT 65220- $39.18- Payment by a PPO

    Respectfully
    Daniel
    CPC


    p.s- believe some would say these CPT's only apply if the physician uses a beveled edge of a needle to pick off the speck. Which is true in one case, but I think removal with Q-tip is also justified in using this CPT.

  8. #8

    Default FB removal eye

    Please review CPT code 67938- Removal of FB from eyelid

  9. #9

    Default

    code 67938 is stating "Incision". By removing FB (speck) after eyelid inversion with a Q-Tip would be part of E/M. No incision was made. I had the same situation. Hope this helps.

  10. #10

    Default

    Sorry eveyone. I meant to say 67938 is correct. Dx would be 374.86 and also add V90.1 to V90.9 for the FB. I am sure you got it since 2007. LOL

    Thank you.

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