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Thread: removal of foreign body with repair

  1. #1
    Join Date
    Apr 2007
    Kansas City Chapter

    Default removal of foreign body with repair

    AAPC: Back to School
    Child came to pediatrician office with injury to the forehead that happened 2 months ago after a BB gun incident. Mom believes child still has a BB in his forehead. xray was done and circular object noted. procedure notes: "area cleaned with betadine and area injected with xylocaine. 1 cm incision made with scalpel. Area around BB dissected with scalpel and forceps. BB expressed with side and lower pressure. Area closed with 3 5-0 sutures. Hemostasis is good. Dressing applied. BB found in deeper subQ tissue. "

    Question: Physician wants to charge for both the incision and removal of the BB as well as the closure. It's my understanding that 10120-10121 would include a closure and would probably be denied by the payer. Is this true? And would this procedure constitute a 10121 vs a 10120?


  2. #2
    Join Date
    Apr 2007
    Kansas City, MO


    The code would include the closure. (if closure was complicated, you could consider billing a repair code instead)

    I think you are safe for the 10121. he says it was deep and that he had to dissect surrounding tissue. So it was more than your basic "slice and pluck".

  3. #3
    Join Date
    Apr 2007
    Kansas City Chapter


    Thanks Linda - I appreciate your help with this!!

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