In Coding
Dec 19th, 2016
For incision and drainage (I&D) of superficial abscess at any location, turn to 10060 Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle or paronychia); simple or single or 10061 …complicated or multiple. As specified in the code descriptors, use 10060 for single abscess, or for a small collection of ...
In Audit
May 10th, 2016
Before you code a superficial incision and drainage (I&D) of an abscess, it’s important to know whether the procedure is simple or complicated. During an I&D, the provider makes an incision over and into the abscess cavity and allows it to drain. It may be left open allowing the continuation of drainage, loculations may be broken up ...
Aug 10th, 2015
Getting Medicare administrative contractors (MACs) to reimburse your Part B claims for incision and drainage services requires familiarity with national and local coverage determinations. Payer policies may differ on some points, but there’s one criterion on which they all agree: Diagnoses must support medical necessity. Documentation Points the Way Most hematomas, seromas, and cysts do ...
Sep 1st, 2011
Choose codes wisely because the wrong code may equal lost revenue or an audit. By Sarah W. Sebikari, MHA, CPC Incision and drainage (I&D) is a minor surgical procedure that usually can be performed in the office setting by a physician, nurse practitioner (NP), or physician assistant (PA). I&D is a common procedure for an ...
Jun 1st, 2010
By G. John Verhovshek, MA, CPC Used appropriately, modifier 59 Distinct procedural service is a powerful reimbursement tool allowing for separate payment of distinct services that, under usual circumstances, would not be billed together. For this same reason, the modifier also allows ample opportunity for misuse and abuse. The competent coder will apply modifier 59 ...