No; removal of a fishhook is not always included in the E/M service and may at times be the only reportable service. The key, as with all procedures to remove foreign bodies from subcutaneous tissue, is whether an incision is required to remove the foreign body. Removal may entail clipping the barb off the hook so that the remainder of the hook may then be pulled out from the skin without an incision. This would not be reported as a procedure, so the appropriate level of E/M service is typically reported based on documentation of history, examination, and medical decision-making (in the office or other outpatient setting, see codes 99201–99205 for new patients or 99212–99215 for established patients). However, it is not always possible to remove a fishhook without an incision (eg, barb of hook is under skin). In these cases, codes for incision and removal of foreign body from...

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