You Be the Coder:
Pilonidal Cyst I&D
Published on Fri Jul 14, 2023
Question: Encounter notes indicate that the physician performed an ED evaluation and management (E/M) service for a patient that included moderate-level medical decision making (MDM). The physician diagnosed ‘pilonidal cyst’ and performed an incision and drainage (I&D) on the cyst: the physician just made a single small incision and drained the cyst without complication. How should I code this encounter? [...]