ICD Q & A

Ask the Experts: July 13, 2015

Question: A three-year-old boy comes to the ED with a foreign body in his nose. The patient does not cooperate with the team and is taken to OR, sedated and then the procedure of removal was performed. Only when the team got into the nasal cavity the object was not there. Do we code for foreign body removal? Is there a modifier that should be added?

Answer: The coder should report the CPT code for removal of foreign body because the work of exploring and attempting to remove the foreign body was done.

- Christina Benjamin, MA, RHIA, CCS, CCS-P

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