Wiki Dx 682.9 ?? - changing dressings

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MsMaddy

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We have pt's that have abscess and they have to come back every day for drainage and changing dressings. But the insurance is not paying for the subsequent visit. Should we use wound check V58.32 as primary dx and 682.9abscess as secondary, after the initial visit. Can we use 99024 and E/M service if they also have other issues?

Thank you all in advance.

MsMaddy :(
 
If I am reading this right, the patient is only coming back for draining and changing of the dressing, and no other I&D is being performed on the follow-up visits. If this is correct then I would think only the 99024 should be coded and then it wouldn't get billed to the insurance company. We see a lot of I&D in our office and that is what we do.

Hope this helps
Jessica Harrell, CPC
 
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