Day #4 Winner - 02/05/15

wrong answer?

Because there are multiple abcesses, shouldn't the correct cpt code be 10061, incision and drainage of abcess; complicated or multiple, and not 10060?
Hi Coders,

We recognize your concerns regarding the AAPC Coding Challenge, specifically with case #4's solution. As many of you have stated, the answer shown on the video is incorrect. The correct code for case #4 is 10061, not 10060. As a result, the video has been removed and those who answered correctly with 10061 will receive points accordingly. We apologize for the error oversight and for any frustrations you may have had.

We believe that the technical issues have been resolved and additional steps are in place to QA answers. We hope you will continue to participate as the Coding Challenge continues through February 27th. We welcome your feedback on our member forum, where we are working diligently to answer your questions.

We appreciate your patience as we work out some bugs with the Coding Challenge!


AAPC Coding Challenge Team
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Case # 4 clinical added to Answer key & Rationale

Case # 4 clinical added to Answer key & Rationale
Since the clinical info wasn't included in posting of answer & rationale; and the link to case clinical info given now is not accessible (error page shows up) .... I thought it wise to include the missing clinical info.

Correct answer(s) :
CPT 10061 (incision and drainage of abscesses, complicated or multiple).

ICD-9-CM code: 682.2. (Abscess, skin, back)

Documentation clearly stated in the case that it is "multiple abscesses in his lower back" and sites packed with gauze.
Do not code the ER visit 99281-25 because insufficient documentation to meet guidelines for reporting E/M.


Incision and Drainage: 42-year-old man presents to the emergency department with multiple small abscesses on his lower back. The areas are localized, erythematous, fluctuant and swollen. The affected areas were prepped with Betadine. A 1% Lidocaine local block was used on all four areas. The abscesses were incised with a #11 blade, positive moderate purulent material was expressed from all areas, hemostat used to breakup loculations, cavities were irrigated until clear drainage. Incision sites packed with Vaseline gauze. Areas were covered with a sterile nonadherent dressing. Patient tolerated the procedure well.