When George Lai of Portland, Oregon, took his toddler son to a pediatrician last summer for a checkup, the doctor noticed a little splinter in the child’s palm. “He must have gotten it between the front door and the car,” Lai later recalled, and the child wasn’t complaining. The doctor grabbed a pair of forceps — aka tweezers — and pulled out the splinter in “a second,” Lai said. That brief tug was transformed into a surgical billing code: Current Procedural Terminology (CPT) code 10120, “incision and removal of a foreign body, subcutaneous” — at a cost of $414.
They should sue the clinic for the child getting the splinter there. Let the clinic’s insurance company fight the health insurance company.
That’s genius, pit tweedle bitch against other tweedle bitch and see who is more annoying.
Result: minimum payouts, premiums go up