How To Use CPT Code 28192

CPT 28192 describes the procedure for the removal of a foreign body from the foot, specifically when the foreign body is situated deep beneath the skin. This article will cover the description, official guidelines, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 28192?

CPT 28192 is used to describe the removal of a foreign body from the foot, specifically when the foreign body is located deep beneath the skin. This code is used when the provider makes a V wedge incision over the foot, probes down to the location of the foreign body, and removes it using a scalpel. The wound is then closed with sutures and medication is applied.

2. Official Description

The official description of CPT code 28192 is: ‘Removal of foreign body, foot; deep.’

3. Procedure

1. When the patient is appropriately prepped and anesthetized, the provider makes a V wedge incision over the foot.
2. The provider then probes down to the location of the foreign body.
3. Using a scalpel, the provider removes the foreign body.
4. The wound is closed with sutures.
5. Medication is applied to the wound.

4. Qualifying circumstances

CPT 28192 is used when the foreign body is situated deep beneath the skin of the foot. This could include objects such as shards of metal or bone fragments. It is important to note that if the foreign body is located in the subcutaneous layer of the skin, CPT code 28190 should be used instead.

5. When to use CPT code 28192

CPT code 28192 should be used when the provider is performing a procedure to remove a foreign body from the foot that is deep beneath the skin. It is important to ensure that the foreign body is located in the appropriate anatomical area before using this code.

6. Documentation requirements

To support a claim for CPT 28192, the provider must document the following information:

• Description of the foreign body and its location
• Details of the procedure performed, including the V wedge incision, probing, and removal of the foreign body
• Type of anesthesia used
• Details of wound closure and application of medication
• Any complications or additional procedures performed
• Signature of the provider

7. Billing guidelines

When billing for CPT 28192, ensure that the procedure performed meets the criteria for this code. It is important to note that CPT code 28192 should not be reported if the provider performs a foreign body removal from the subcutaneous layer of the skin of the foot, in which case CPT code 28190 should be used instead.

8. Historical information

CPT 28192 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates or changes to the code since its addition.

9. Examples

1. A provider removes a shard of metal from deep within the foot of a patient.
2. A foreign body, such as a bone fragment, is successfully removed from the foot of a patient by a provider.
3. A provider performs a procedure to remove a deep foreign body, such as a glass shard, from the foot of a patient.
4. A patient presents with a deep foreign body, such as a splinter, in their foot, and a provider performs a procedure to remove it.
5. A provider removes a foreign body, such as a thorn, from deep within the foot of a patient.
6. A patient seeks medical attention for a deep foreign body, such as a metal fragment, in their foot, and a provider performs a procedure to remove it.
7. A provider successfully removes a deep foreign body, such as a wood splinter, from the foot of a patient.
8. A patient presents with a deep foreign body, such as a plastic fragment, in their foot, and a provider performs a procedure to remove it.
9. A provider removes a foreign body, such as a piece of glass, from deep within the foot of a patient.
10. A patient seeks medical attention for a deep foreign body, such as a metal shard, in their foot, and a provider performs a procedure to remove it.