Author Topic: 200+ Splinter & Thorn Removal Podiatry  (Read 27 times)

EDREIBELBIS

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200+ Splinter & Thorn Removal Podiatry
« on: June 15, 2018, 08:16:06 AM »
Hello all!

My Doc just pulled me back to discuss a case we have coming in today, patient was seen yesterday and it was found that he has roughly 200+ splinters/thorns in his feet. He is coming back in today for a complete forgien body removal.

Can I bill these individually for each removal? These are subcutaneous and not into the muscle so I feel that the 10120 will be the proper code to use. However, I'm no clear on billing for multiple removals. What I have found suggests that I should bill the first removal and then all subsequent w/ a 51 mod. i.e. 10120, 10120 (x10) 51

Any guidance would be helpful, it is anticipated that this will be a very long process and we want to make sure we can get reimbursed for the work.

Thanks in advance for your help!

Emily

kristin

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Re: 200+ Splinter & Thorn Removal Podiatry
« Reply #1 on: June 15, 2018, 02:17:14 PM »
51 modifiers are added by insurance companies when they process claims, so I wouldn't use that. If you are indicating that each FB removal is in a different site/area, you would use 59 or one of the X modifiers. Be aware that depending on the insurance, you could run into a MUE edit where they only allow so many units of 10120 to be billed on one DOS. In which case you would have to appeal with notes.