ICD Code M60.28

ICD code M6028 is used to classify a condition known as a foreign body granuloma of soft tissue, which is not specified elsewhere and occurs at a site other than those typically categorized. A foreign body granuloma is a type of inflammatory response that occurs when the body reacts to a foreign substance that has entered the soft tissues, such as splinters, sutures, or other materials. This code is utilized by healthcare providers to document and communicate this specific condition for purposes such as billing, treatment planning, and statistical analysis. It helps ensure that the condition is accurately recorded in medical records and can be tracked for healthcare management and research purposes.

When to use the ICD code M6028, Foreign body granuloma of soft tissue, not elsewhere classified, other site:

1. Presence of a Foreign Body: Evidence of a foreign object or material embedded in the soft tissue, which may include items such as splinters, surgical materials, or other non-biological substances.

2. Granulomatous Inflammation: Histological confirmation of granulomatous inflammation in the affected soft tissue, characterized by the formation of granulomas.

3. Localized Symptoms: Clinical symptoms such as localized swelling, tenderness, or pain at the site of the foreign body.

4. Absence of Infection: No signs of acute infection (e.g., fever, purulent drainage) associated with the granuloma, indicating that the condition is primarily inflammatory rather than infectious.

5. Chronicity: Symptoms or findings that have persisted for a duration that suggests a chronic process, typically weeks to months, rather than an acute reaction.

6. Exclusion of Other Conditions: Differential diagnosis has ruled out other potential causes of soft tissue masses or lesions, such as tumors or infectious processes.

7. Location Specification: The granuloma is located in a soft tissue site that is not classified under other specific ICD codes, necessitating the use of this particular code for accurate documentation and billing.

For the ICD code M6028, which pertains to a foreign body granuloma of soft tissue, not elsewhere classified, other site, the relevant CPT codes that may be applicable for treatment or procedures include:

1. 10120 - Incision and removal of foreign body, subcutaneous tissues; simple.

2. 10121 - Incision and removal of foreign body, subcutaneous tissues; complicated.

3. 20520 - Removal of foreign body in muscle or tendon sheath; simple.

4. 20525 - Removal of foreign body in muscle or tendon sheath; deep or complicated.

5. 20670 - Removal of implant; superficial (e.g., buried wire, pin or rod) (separate procedure).

6. 20680 - Removal of implant; deep (e.g., buried wire, pin, screw, metal band, nail, rod or plate).

These CPT codes are typically used for procedures involving the removal of foreign bodies or related surgical interventions in soft tissues. It's important for healthcare providers to select the appropriate CPT code based on the specific procedure performed and the complexity of the case. Always ensure that the documentation supports the chosen CPT code to facilitate accurate billing and reimbursement.

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