can abscess and cellulitis be in same site?

GAcoder

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Canton, GA
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Patient is diagnosed with abscess and cellulitis in one site between breasts. Should both codes be coded or just abscess? Treated with antibiotic.
Thank you
 

cgaston

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Clarence, NY
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L03.313 (cellulitis of chest wall) has an excludes note for N61 (abscess of breast) so you should not bill them together.

I know our software will flag claims if we bill codes with "excludes notes" together.
 

CodingKing

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L03.313 (cellulitis of chest wall) has an excludes note for N61 (abscess of breast) so you should not bill them together.

I know our software will flag claims if we bill codes with "excludes notes" together.

I see an excludes2 which means you can code both if necessary
 

mitchellde

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Columbia, MO
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L03.313 (cellulitis of chest wall) has an excludes note for N61 (abscess of breast) so you should not bill them together.

I know our software will flag claims if we bill codes with "excludes notes" together.

In ICD-10 CM there are two types of excludes notes. Exclude 1 means you cannot code these together, excludes 2 means it is not included here and if documentation supports both conditions, you just code both codes to indicate both conditions. Your software should not be editing out the excludes 2 conditions.
 

cgaston

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What should happen and what actually happens are usually two different things. I didn't write the program, I just have to work around it. :)
 
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