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Old 08-31-2009, 09:46 AM
Hopp Hopp is offline
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Default Please help with Coding I&D

My doc performed the following: I & D lt upper medial thigh abscess and placed i/2 iodoform packing in the wound 8/9/09 Is the correct code: 10061 -Lt and then on 08/13/2009 he perfomed & I&D of lt lateral groin abscess and also packed the wound: CPT: 10061 79 Lt Would they be the correct codes? Still kind of new at general sx coding any help would be appreciated TIA
Deb, CPC
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Old 08-31-2009, 03:10 PM
FTessaBartels FTessaBartels is offline
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Default Modifiers

Don't need (LT) modifier at all, as this code is not identified with a particular body part that can be inherently bilateral.

I would use (76) repeat procedure modifier on the second I&D. I know .. it's not on the same abscess site. Makes no difference. If you are using the exact same code and it's within the global period of the original code, you can still use the (76) modifier. This lets the carrier know that you are not duplicate billing.

Hope that helps.

F Tessa Bartels, CPC, CEMC
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Old 09-01-2009, 11:51 AM
JSYLVAIN JSYLVAIN is offline
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Default

You only need the 79 mod, as it is during the global. 76 mod is repeat procedure same day.
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Old 09-01-2009, 01:00 PM
Zina Zina is offline
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Default

Deb,
Don't forget about 27301 if the abscess was deep instead of 10061.
Z
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Old 09-01-2009, 02:46 PM
jharrell jharrell is offline
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Default

I agree with the -79.

I do have a question while we are on the I&D subject hope you guys can help. If you pack the I&D site does that make it complicated and do you then charge the 10061? We have wondered what makes an I&D complicated, we always just use the 10060, but we always pack our I&D's. Also if you can point in the direction of where I can find documentation for it would be great, because I have already talked to my manager about it and he didn't think you could charge the 10061.

Jessica CPC
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Old 09-02-2009, 01:11 PM
FTessaBartels FTessaBartels is offline
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Default 10061 Complicated or multiple

Here's the lay description from Encoder Pro:
The physician makes a small incision through the skin overlying an abscess for incision and drainage (e.g., carbuncle, cyst, furuncle, paronychia, hidradenitis). The abscess or cyst is opened with a surgical instrument, allowing the contents to drain. The lesion may be curetted and irrigated. The physician leaves the surgical wound open to allow for continued drainage. For complicated or multiple cysts in 10061, the physician may place a Penrose latex drain or gauze strip packing to allow continued drainage. Complicated cysts may require later surgical closure. Report 10060 for incision and drainage of a simple or single abscess. (emphasis added by FTB)

I have shared this with our surgeons and asked that they dictate the procedure as "complicated I&D" when they use packing or drain. But even if they don't add that particular "label" to the procedure, if the body of the report includes packing, we code as 10061.

F Tessa Bartels, CPC, CEMC

Last edited by FTessaBartels; 09-02-2009 at 01:13 PM.
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