cpt code for removal of foreign body with tweezers

var slotId = 'div-gpt-ad-codingahead_com-box-3-0'; These abscesses occurred because the initial foreign body removal left a small retained splinter fragment. The Journal of Urgent Care Medicine (JUCM) is the official journal of the Urgent Care Association (UCA). Thus, it is good clinical practicewhen possible without risk to deeper structures and especially with splinters from older woodto make an incision and visualize the entire splinter prior to removal. Available for over 5000 of the most common CPT codes. Cancel anytime. Whatsapp: +91 9360951544.Cpt code for Rem. One caveat: don't use these codes for simply . The deep or complicated procedure requires moderate sedation, and it will be reported separately with 99152-99153 CPT code and foreign object removal CPT codes. Basic and Advanced Medical coding. CPT code 43500 is used to report for service when removal of the foreign body is performed with Gastrotomy. CPT code 45307 is used to report for service when extraction of the foreign body is performed with Proctosigmoidoscopy. Please enable JavaScript in your browser settings. I am sure you got it since 2007. The wound repair would be considered to be included in the foreign body removal code. CPT 27086:When performed in the facility, the cost, and RUVS of CPT 27086 will be 189.09 and 5.46396. Code 20680 [Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)] describes a unit of service that is typically reported only once, provided the original injury is located at only one anatomic site, regardless of the number of screws, plates, or rods inserted, or the number of . What is the ICD-10 code for Foreign body removal? Common items that children put in their noses include: CPT 28192 is removal of foreign body, foot; deep. This presumes that the splinter was deeper than subcutaneous (CPT 10120-10121; CPT 28190). The Chapter 7 codes are more anatomically specific than those in Chapter 19. Related Resources - What Is the CPT Code for Foreign Body Removal From the Ear? Every vignette contains a Clinical Example/Typical Patient and a description of Procedure/Intra-service. CPT 30310:When performed in the facility, the cost, and RUVS of CPT 30310 will be $242.07 and 6.99494. Can you bill an office visit with a foreign body removal? What are the CPT and ICD-10-CM codes reported? Endoscopic or surgical intervention is required to remove this foreign body particle. 5Wz+emwx`d D C@4 Modifier 78 will be appended with foreign body removal codes if the procedure is repeated with the same condition of the global period. Removing objects that are struck in any part of the body is called foreign body removal or retrieval. I had the same situation. CPT is a trademark of the American Medical Association (AMA). Non-facility will be $593.56 and 17.15184. Use CPT 59400 for routine obstetric care throughout pregnancy, labor, and postpartum. Foreign body removal is the process of removing foreign particle introduced inside the body. Each issue contains a mix of peer-reviewed clinical and practice management articles that address the distinct clinical and practice management needs of those who are working in todays busy urgent care centers. A.Here is where coding gets a little tricky and knowledge of the fine print can allow for better reimbursement. 8 Can a foreign body be coded as an E / M? Please advise on the depth of the foreign body for this procedure. Non-facility will be $544.86 and 15.74465. The Dr didn't make any type of incision to charge the 65235. CPT 23330 or 23333 are used to report for services when removing the foreign body is performed on the shoulder, and the procedure can be simple and complicated, respectively. Provider used a blade to remove a splinter and coded it 10120. What is the CPT code for removal of foreign body from finger? 12 This modality should be avoided if metallic foreign. CPT Code 29874 will be reported to remove foreign bodies from the Knee. CPT codes 32151 or 32150 are used to report for service when removal of the foreign body is performed on the chest region (intrapulmonary or intrapleural) along with Thoracotomy. T18.9XXA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Access to this feature is available in the following products: These codes depend on documentation of whether the fracture was open (i.e., had an associated break in the skin) or closed and whether the fracture was or was not manipulated by the treating physician, so make sure that you have a separate and identifiable procedure note that documents these aspects of the treatment. Modifier 23 is applicable with CPT code 64721, or 29848 if general or local anesthesia is given to patients who are normally not required for the procedure. CPT Code For Laceration Repair With Foreign Body Removal. If the removal procedure requires general anesthesia, the CPT code changes to 69205: Removal of foreign body from the external auditory canal with general anesthesia. container.appendChild(ins); 1 What is the CPT code for removal of foreign body from vagina? Otherwise, the removal of a vaginal foreign body is considered inherent to the E/M visit and cannot be separately reported. Emergency removal of foreign bodies in uncooperative children is necessary only for signs of obvious infection, disc batteries, and insects. What is the CPT code for foreign body removal from the ear? Foreign body removal CPT codes can be part of the most complex procedure and are not reported separately. Laceration repair is the procedure of treating cuts or tears that affect the skin and tissues underlying it. If incision is made in the skin it qualifies for FB removal code. CPT Vignettes illustrate code use through sample patientexamples. CPT code 57415 may be reported if an impacted vaginal foreign body is removed under anesthesia (other thanlocal). Example: For FBR in the shoulder, you must select among codes 23330 (Removal of foreign body, shoulder; subcutaneous), 23331 ( deep [e.g., Neer hemiarthroplasty removal]), and 23332 ( complicated [e.g., total shoulder]). 0udb7zx. CPT code information is copyright by the AMA. Non-facility will be $526.04 and 15.20077. YouTube, Several other codes for foreign body removal from subcutaneous tissue also do not require the physician to perform an incision (Table 1). For incision and removal of foreign body in a foot use codes from the section 28190 through 28193. Does CPT 69200 require a modifier? If you refer the patient to another physician for the definitive treatment of the finger fracture, you can still code for the appropriate E/M level, the supply code for a finger splint (Q4049), and code for finger splint application (29130). CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. A.No. No incision was made. The Physician used a Q-Tip to remove a speck from the Cornea. This practice helps ensure that the entire splinter is removed and no splinter fragments are retained in the wound. Use a small needle to remove the splinter. What is the CPT code for foreign body removal? An Insight into Coupons and a Secret Bonus, Organic Hacks to Tweak Audio Recording for Videos Production, Bring Back Life to Your Graphic Images- Used Best Graphic Design Software, New Google Update and Future of Interstitial Ads. CPT code 31725 is used for catheter aspiration, tracheobronchial with fiberscope, and bedside. What Is CPT Code 87426? Others may hold that since the advancing of the hook made its own incision (howbeit less than 1 mm), one can use the code for subcutaneous foreign body removal with incision. I would say it is part of E/M code. CPT 42809 is used to report for service when removal of the foreign body is performed on Pharynx. View calculated CPT fee values specifically for your Medicare locality. Learn when medical intervention is necessary. Foreign body removal CPT codes vary depending on the area of the body that is affected. Note: CPT codes, descriptions, and other data only are copyright 2007 American Medical Association. Of course, if you provide definitive treatment for the finger fracture, you should use the appropriate CPT code for treatment of the finger fracture, which will include 90 days of routine follow-up care. 1996-2022 MedicineNet, Inc. All rights reserved. At the same time, modifier 51 is applicable when the other procedure is not the component of foreign body removal CPT codes. var lo = new MutationObserver(window.ezaslEvent); Large images may take a few minutes to appear. What is the CPT code for removal of foreign body from vagina? This will absorb and partially degrade the fragmented pieces left for future removal if the procedure is unsuccessful. 24200 - CPT Code in category: Removal of foreign body, upper arm or elbow area. Some payers will require that the procedure be reported with modifier 50 and 2 units of service. Many features may not work properly without it. This section showsAPC information including: Status Indicator, Relative Weight, Payment Rate, Crosswalks, and more. "CPT Copyright American Medical Association. Save time with a Professional or Facility subscription! This procedure aims to permanently join two vertebrae by interlocking the spines, Read More CPT Code 22612 | Description, Procedure & Billing Guidelines (2022)Continue, Your email address will not be published. Foreign bodies can be either graspable or non-graspable. The procedure can be complicated if the foreign body is near somebodys organs or bone and can damage the bodys normal functions. yZx:_qf9+K+Xf\}ILIi *s4E+aQe}680J*U:A1Dp;qKp,`\IB;7A_JRzV.5'v`H8h&:/CMAK&cHW$,Np'hcA6 y'i0q[;z,J`pLTWSFv`xZjT9v%0M%J4linjp'\J suction dilation & curettage. O;{ %9)g|}fx2KKuiR[dLd#~4\h:9vt ]JToCY8]4S}I Y7dJP Underneath are the descriptions and coding guidelines for EGD with biopsy, EGD with balloon dilation, EGD with bravo, EGD with PEG tube placement, EGD diagnostic, EGD and colonoscopy, EGD with ablation, EGD with capsule placement, EGD with clip placement, anesthesia for EGD, EGD with, Read More (2022) How To Code EGD CPT Codes & Coding GuidelinesContinue, Report CPT 87426 if a lab analyst performed an immunoassay to semiquantitative or qualitatively evaluate the patients blood for severe acute respiratory syndrome coronavirus (e.g., SARSCoV2). I agree that you wouldn't use 65235 - totally the wrong code. As a physician, it is important that you document precisely, notating the simplicity or complexity of the procedure, as well as how deep the incision(s) is. How to Market Your Business with Webinars? E{&Cpa32xCsU%X~+t dr8 U^H (YDCOvr%zZ8c;4\.D{KbxVP0w1I2+6Ri' View fees for this code from 4 different built-in fee schedules and from those you've added using the Compare-A-Feetool. CPT code 49402 is used to report for service when extraction of the foreign body is performed on the peritoneal cavity. MedTerms medical dictionary is the medical terminology for MedicineNet.com. The CPT code for foreign body removal from the ear without general anesthesia is 69200. Next, the physicians perform an incision to the foot and remove the pointed wood inside the foot. ? What Is CPT Code 22612? ins.style.width = '100%'; Learn how to get the most out of your subscription. Removal of foreign body, external eye; conjunctival superficial. Look in the CPT Index for Removal/Foreign Body/Auditory Canal, External 69200. qy )e@x n\1 R)ajmf~S,.Y 0`%,0!{naWu0). There have been numerous coding questions about whether to report a foreign body removal code or implant removal code when an object is removed from the body. CPT codes are normally included in major or complex procedures for foreign object extraction, or some foreign body removal is reported separately. . Sorry eveyone. Home remedies to unclog your ears include chewing, ear irrigation, performing the Valsalva maneuver, applying warm compresses, using OTC nasal decongestants or or putting oil drops or hydrogen peroxide into the affected ear. A.Once again, cutting off a ring from a finger is considered to be a part of the evaluation and management (E/M) code. Modifier 47 will be appended with foreign body removal CPT codes if anesthesia is given by an assistant or attending surgeon. Ongoing pain, functional impairment, and the sensation of foreign material is a strong indication for surgery. The modifier provides a means for reporting reduced services without disturbing the identification of the basic service. Dx would be 374.86 and also add V90.1 to V90.9 for the FB. CPT code 31899 is used for unlisted procedures, trachea, and bronchi. Exploration with removal of deep foreign body, forearm or wrist (25248) Removal of wrist prosthesis; separate procedure (25250) Removal of wrist prosthesis; complicated, including total wrist (25251) Arthrotomy, for infection, with exploration, drainage or removal of foreign body; carpometacarpal joint (26070). I see 28190 is subcutaneous. Typically, these codes have significantly higher reimbursement than the code for a simple subcutaneous foreign body removal. Place the tip underneath the anterior projection of the foreign body and carefully tease it out. In contrast, modifier 79 is applicable when the procedure is reported for an unrelated condition. These are the most frequently done procedures mentioned below: CPT 55120 is used to report for service when extraction of the foreign body is performed on the Scrotum region. CPT code 43500 is used to report for service when removal of the foreign body is performed with Gastrotomy. h4R`wrNRGI]nW A complex I&D is generally defined as an abscess requiring placement of a drainage tube, allowing continuous drainage, or packing to facilitate healing. TIP: You can find the complete billing guide for CPT 10120 here. CPT 49402:When performed in the facility, the cost, and RUVS of CPT 49402 will be $924.21 and 26.70645. 300-400 new vignettes are added each year as codes added, revised and reviewed. An incision is made through the skin and it is reflected to expose the foreign body. Note: Bold items should be referred to a specialist for removal. Note: Your browser does not have JavaScript enabled. Could your sore or ringing ears be a sign of something else? For example: H44.652 Retained (old) magnetic foreign body in vitreous body, left eye. JUCMs reach of over 42,000 includes qualified clinicians, business and administrative professionals working in urgent care facilities nationwide, 2023 - The Journal of Urgent Care Medicine - All Rights Reserved, Chief Executive Officer at Experity, Previous Chief Executive Offer at Practice Velocity Urgent Care Solutions, Founding Member of the Urgent Care Association of America, Publishing Staff for The Journal of Urgent Care Medicine, Proper Coding for Removal of Foreign Bodies. CPT CPT 10120 in section: Incision and removal of foreign body, subcutaneous tissues CPT Code Set 10120 - CPT Code in category: Incision and removal of foreign body, subcutaneous tissues CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code 59400 refers to a comprehensive care package that includes routine obstetric care throughout pregnancy, labor, and postpartum. Prior to being aware of the coding implications, I generally made an incision in the skin to allow the tip of the advancinghook to slide though the skin. window.ezoSTPixelAdd(slotId, 'adsensetype', 1); Short description: Foreign body of alimentary tract, part unsp, init encntr The 2023 edition of ICD-10-CM T18.9XXA became effective on October 1, 2022. It is [QUOTE="Mojo, post: 178748, member: 58277"]Correct, without an incision, there is no Incision and removal of a FB, subcutaneous tissues, simple 10120. It can come from any number of problems starting with the eardrum and cochlea the organs that turn sound waves into electrical signals for the brain to interpret as sound. The CPT code for this procedure is 28192. MedTerms online medical dictionary provides quick access to hard-to-spell and often misspelled medical definitions through an extensive alphabetical listing. See our privacy policy. The CPT code for foreign body removal from the ear without general anesthesia is 69200. hearing health center/hearing a-z list/related resources /cpt code for foreign body removal from the ear article, The current procedural terminology (CPT) code for foreign body removal from the ear without general anesthesia is 69200. If you do an incision and removal of a foreign body, use 10120 for simple, and 10121 for complicated. var ins = document.createElement('ins'); CPT codes 69200 and 69205 are used to report for removal of foreign object from the ear without and with the administration of general anesthesia, respectively. Describe the techniques and instruments used for the removal of foreign bodies from the external auditory canal. If the . CPT 10121:When performed in the facility, the cost, and RUVS of CPT 10121 will be $202.30 and 5.84575. CPT code information is copyright by the AMA. The type of removal described in this procedure includes the removal of foreign bodies under direct visualization with an otoscope (an instrument for examining the ear). CPT code 65222 implies that the foreign body is usually a material such as wood or metal, not something the body produces. We had a patient come in complaining of a foreign body in his eye. If the foreign body in the left eye is nonmagnetic, the correct code is H44.7 Retained (old) IOFB, nonmagnetic, which includes the instruction "Use additional code to identify . Note: CPT codes, descriptions, and other data . ), Related CPT CodeBook Guidelines (Reverse Guideline Lookup). the complete billing guide for CPT 10120 here. Some of the instruments for ear foreign body removal and their indications are in the table below. Please help me out to take the approriate CPT for the procedure note "foreign body - thin green coloured wooden stick , embedded in left tonsillo-lingual sulcus ( oropharynx )was localised with help of indirect laryngoscope and removed with help of forceps. Where appropriate, there are also Pre- and Post-service descriptions. How to Market Your Business with Webinars? CPT Code: 69200-RT ICD-10-CM Code: T16.1XXA Rationales: CPT: This documentation shows evaluation of a patient with a foreign body in her right ear. I am wondering if there is a code to use on top of the E/M. CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. Subscribers may add their own notes as well as "Admin Notes" visible to all subscribers in their account. var cid = '2759846625'; Metacafe, IS THIS correct? We use cookies to ensure that we give you the best experience on our website. var pid = 'ca-pub-8407705611028189'; CPT 28192:When performed in the facility, the cost, and RUVS of CPT 28192 will be $343.47 and 9.92502. Vignettes are reviewed annually and updated when necessary. Of course, this is hard to understand, since there is a code for removing a foreign body from the external ear canal (69200) or the nares (30300). View a table of UCR, Worker's Comp, and Medicare Fees here, as well as see UCR Fees in the charts below. CPT Code For Foreign Body Removal From Foot The foreign body can be removed from foot by making an incision on the surface and removing it with the help of forceps. Modifier 76 will be attached to foreign body removal codes if service is repeated by the same physician on the same date of service, while modifier 77 if the procedure has been done on the same date service by a different physician, respectively. Foreign body removal can also be done by endoscopic procedures and can be part of the endoscopic procedure, and cannot be reported separately. ins.dataset.adChannel = cid; CPT code is 10120 and 28192. In, Read More CPT Code For Ureteroscopy With Laser Lithotripsy (2022) Description, Guidelines, Modifiers & ExamplesContinue, CPT codes for EGD range from CPT 43235 to CPT 43259. CPT code ranges 31717-31899 are used for respiratory procedures. var container = document.getElementById(slotId); Look at code 65235. CPT 99315 CPT code 99315 can be reported for a, Read More CPT 99315 & CPT 99316 (Nursing Facility Discharge Services)Continue, CPT code for ureteroscopy with laser lithotripsy is coded as 52353. CPT 28193:When performed in the facility, the cost, and RUVS of CPT 28193 will be 403.67 and 11.66459. Removal of Foreign Body Procedures on the Foot and Toes CPT Code range 28190- 28193 The Current Procedural Terminology (CPT) code range for Surgical Procedures on the Foot and Toes 28190-28193 is a medical code set maintained by the American Medical Association. The CPT code to use for the case we are considering is 65222-LT. Non-facility will be $676.64 and 19.55266. Medicare does not reduce payment for CPT codes with modifier -53 appended. Thus, it is good clinical practicewhen possible without risk to deeper structures and especially with splinters from older woodto make an incision and visualize the entire splinter prior to removal. <> This is from Ingenix CPT further defines these codes according to depth (such as subcutaneous, deep or, in some cases, complicated). JavaScript is disabled. Using the patients' forehead for stability, hold the needle head tangentially to the cornea with the beveled tip up, away from the cornea. In the case of a large foreign body, the procedure may require an additional incision to enlarge the opening before the foreign body can be extracted. How are foreign bodies removed from the ear? The CPT code for foreign body removal from the ear without general anesthesia is 69200. ins.style.height = container.attributes.ezah.value + 'px'; Non-facility will be $303.14 and 8.75975. 3. Unlike the generic code for simple foreign body removal from subcutaneous tissue (10120), the code for removing a foreign body from the subcutaneous tissue of the foot does not specifically require incision as part of the removal to usethe specific code for removal of foreign body, foot; subcutaneous (28190). Attempts to remove foreign bodies may push them further into the canal where they become lodged at a narrow point within the ear. If foreign object removal is along with penetrated wound, then penetrated wound will be reported separately with appropriate codes. What is considered a complex incision and drainage? APC information including: Status Indicator, Relative Weight, Payment Rate, Crosswalks, and more. . I agree with Nicole. You are using an out of date browser. What Is CPT Code 59400? container.style.width = '100%'; Would this be part of the E/M, or is there another code to use? Non-facility will be $174.26and 5.03540. The patient presented to the office for an insect inside the ears, and physicians removed the insect from the ear. Modifier 51 will be reported when the physician does multiple foreign body removal. Disclaimer: JUCM and the author provide this information for educational purposes only. Non-facility will be $250.92 and 7.25255. 5 0 obj Genomic Sequencing & Molecular Multianalyte Assays, Multianalyte Assays With Algorithmic Analyses, Immunization Administration for Vaccines/Toxoids, Hydration, Therapeutic, Prophylactic, Diagnostic Injections and Infusions, and Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration, Domiciliary, Rest Home or Home Care Plan Oversight, Inpatient Neonatal & Paediatric Critical Care. Additional CPT changes for 2020 include the new codes for health and behavior assessment and intervention services (96156, 96158, 96164, 96167, 96170 and add-on codes 96159, 96165, 96168, 96171). If youre wondering how much review pressure your hospice is likely to encounter this year Medicares recent Comprehensive Error Rate Testi A business associate of a government contractor is hit with a ransomware attack. One would hope that a code to compensate for the inconvenience and time spent on removing a vaginal foreign body will be developed. If a foreign body is not removed and remains in the body can cause inflammation, infection, or allergic reaction and must be removed from the body by a procedure or object. [1] Go to: The following list is of modifiers that are applicable with foreign body removal CPT codes: 23, 22, 47, 50, 51, 52, 53, 55, 54, 56, 58, 59, 63, 76, 77, 78, 79, 99, AI, AQ, AR, CC, CR, EY, ET, GA, GC, GJ, GK, GR, GU, GY, GZ, KX, LT, PT, QJ, Q5, Q6, RT, SG, XE, XP, XU, XS. All rights reserved. There are also the FB removal codes specifically for feet, ie 28190 thru 281 [QUOTE="donnajrichmond, post: 178782, member: 4393"]Coding Clinic for HCPCS 4Q 2006 said that 28190-28193 require an incision. code 67938 is stating "Incision". CPT codes 20520 or CPT 20525 are used to report services when removal of the foreign body is performed on muscle or tendon sheath, and the procedure can be simple, deep, or complicated, respectively. In some cases, the physicians incision the targeted site to remove the foreign object or material. In this case, you can bill for the corneal foreign body removal in each eye using the -RT and the -LT modifiers with the procedure code. CPT code 11044 or CPT code 11047 may only be billed in place of service inpatient hospital, outpatient hospital or ambulatory care center (ASC). Our doctors define difficult medical language in easy-to-understand explanations of over 19,000 medical terms. Non-facility will be $25.05 and 7.28334. Documentation should mention the type of foreign body, shape, size such as plastic, metal, wood, etc., and the depth of the foreign body to identify the severity of the procedure code. CPT 27087:When performed in the facility, the cost, and RUVS of CPT 27087 will be $676.64 and 19.55266. CPT 65205- Removal of foreign body, external eye: Conjunctival superficial CPT 65220- Removal of foreign body, external eye: corneal, without slit lamp. The doc inverted his eyelid, and removed a "speck" foreign body from his eyelid with a Q-tip. } Save my name, email, and website in this browser for the next time I comment. Foreign body removal can be done with or without anesthesia; therefore, check the appropriate CPT code that includes anesthesia. See additional information. Non-facility will be $242.07 and 6.99494. -sOutputFile=? Easily create a Forum Website with Website Toolbox. Whats the best way to remove a splinter? Facebook. The reader should not make any application of this information without consulting with the particular payors in question and/or obtaining appropriate legal advice. cluded in the foreign body removal code. In laceration repair, the wound is closed and if it is performed with foreign body removal, then the cut is closed after the removal of foreign body. Code 10120 requires that the foreign body be removed by incision (eg, removal of a deep splinter from the finger that requires incision). 65205. You must log in or register to reply here. CPT 73030 | Radiologic Examination | Shoulder | 2 Views Or More, CPT Code 63047 | Laminectomy, Facetectomy, & Foraminotomy, (2022) Billing Guidelines For Reclast, Zometa (Concentrate), And Aclasta, How To Bill Medical Records Requests | Descriptions & Billing Guidelines (2022), Ambulance Modifiers & Codes | How To Bill Ambulance Services (2022), HCPCS Code l3908 | Description & Billing Guidelines, How To Code Weight Loss ICD 10 (2022) List With Codes & Guidelines, (2022) How To Code Thrombocytopenia ICD 10 List With Codes & Guidelines, (2022) How To Code Syncope ICD 10 List With Codes & Guidelines. (adsbygoogle = window.adsbygoogle || []).push({}); ins.className = 'adsbygoogle ezasloaded'; CPT codes 30300, 30310, or 30320 are used to report for services when extraction of the foreign body is performed on the nose, which may or may not require anesthesia or can be performed by lateral rhinotomy. The multiple surgery rule would apply, so you would also use the -52 modifier on the second eye. Dailymotion, Is it good practice to remove foreign bodies? For an incision and removal of a foreign body from subcutaneous tissues to be classified as complicated, the procedure must include extensive dissection of underlying tissues and/or the adjunctive use of imaging guidance. It can pushthe object further into the ear. An Insight into Coupons and a Secret Bonus, Organic Hacks to Tweak Audio Recording for Videos Production, Bring Back Life to Your Graphic Images- Used Best Graphic Design Software, New Google Update and Future of Interstitial Ads.

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cpt code for removal of foreign body with tweezers

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