Removal of splinter in foot?

What cpt code do I use for this? Help!

Oct 22nd, 2009 - Codapedia Editor 1,399

removal of splinter

Foreign body removal is part of an E/M service, unless there is an incision made at the same time. If you do an incision and removal of a foreign body, use 10120 for simple, and 10121 for complicated.

Oct 23rd, 2009 -

Removal of splinter--foot

10120 and 10121 are correct for foreign body removal, soft tissue, except in the foot. For incision and removal of foreign body in a foot use codes from the section 28190 through 28193.

Oct 23rd, 2009 - Codapedia Editor 1,399

removal of foreign body

Thank you!! I appreciate the correction.

This sent me to the index of my CPT book, and there are a number of places in addition to the foot that have specific removal of foreign body codes. I found them under:
Removal
Foreign body

Then, the location.

Is there anyone on the list who could write an article/entry about when to use the simple skin codes and when to use the codes in the body area? Some are obvious: kidney, pharynx, pleura, etc.

But, how do you decide which code to use if your choice is 28190: Removal of foreign body foot; subQ or 10120 Incision& removal of f.b., subQ tissues; simple

Thanks

Oct 23rd, 2009 -

Removal of foreign body

That is a good question! I will do some research to see if I can find some official guidance on this.

Oct 23rd, 2009 - Codapedia Editor 1,399

removal of foreign body

28190 has 5.98 RVUs and 10210 has 3.33 RVUs.

Neither is described in the AMA's CPT Reference of Clinical Examples.

I'll look in the CPT Assistant later today.

Dec 7th, 2011 -

re: removal of foreign body hand

[Thank you!! I appreciate the correction.

This sent me to the index of my CPT® book, and there are a number of places in addition to the foot that have specific removal of foreign body codes. I found them under:
Removal
Foreign body

Then, the location.

Is there anyone on the list who could write an article/entry about when to use the simple skin codes and when to use the codes in the body area? Some are obvious: kidney, pharynx, pleura, etc.

But, how do you decide which code to use if your choice is 28190: Removal of foreign body foot; subQ or 10120 Incision& removal of f.b., subQ tissues; simple

Thanks]