When complications related to the placement of an implant arise, its removal or repositioning is often performed. In contrast to a foreign body, an implant is a manufactured object that has been placed in the body by a surgeon as part of a surgical procedure. Trauma cases often also necessitate the use of one of the laceration repair codes below.Ħ5280 Repair of laceration cornea and/or sclera, perforating, not involving uveal tissueĦ5285 Repair of laceration cornea and/or sclera, perforating with reposition or resection of uveal tissueĦ5286 Repair of laceration application of tissue glue wounds of cornea and/or sclera These objects ended up in the body as a result of some type of trauma, such as an accident, natural force (wind blowing something in the eye), or other similar method of delivery.īelow is a list of CPT codes commonly used in retinal trauma cases that address the removal of foreign bodies.Ħ5235 Removal of foreign body, intraocular from anterior chamber of eye or lensĦ5260 Removal of foreign body, intraocular from posterior segment, magnetic extraction, anterior or posterior routeĦ5265 Removal of foreign body, intraocular from posterior segment, nonmagnetic extraction In retinal trauma, the sites where IOFBs are most frequently encountered are in the anterior and posterior segments and embedded in lacerations however, foreign bodies can also be encountered in the conjunctiva and the orbit.
A foreign body is an object, or more than one object, that has entered and is present in the body but does not belong there and was not placed there by a surgeon. DIFFERENTIATING BETWEEN IMPLANTS, FOREIGN BODIES, AND FOREIGN BODY TYPESīefore one can differentiate between a magnetic and nonmagnetic foreign body, one must be sure that the object in question is indeed a foreign body and not an implant.įor coding purposes, objects that are synthetic or natural in origin (wood, glass, metal, etc.) are considered foreign bodies. When one is coding for removal of an intraocular foreign body (IOFB), it is necessary to be aware of the following: differentiation between a magnetic and nonmagnetic foreign body proper diagnosis codes, which have been changed in ICD-10-CM surgical Current Procedural Terminology (CPT) codes and National Correct Coding Initiative (NCCI) bundles.
Ocular surgery due to trauma is frequently within the purview of the retina surgeon.
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