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Wiki Facility ER coding procedure

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cpccoder2008

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We have a patient who came in and had an abcess I&D then returned several days later for their post op/check up and the physician removed the packing cleaned out the wound and repacked the abcess. Our compliance dept is saying we must charge 12021 for the repacking but i disagree. I only have expirence coding physician ER records so im not sure if the rules apply to facility but i was always told this would be included in the original procedure and anything after the 10 days is considered global. Not only do i think its considered global but i wouldnt choose 12021 if it were outside of global either. Although they repacked the wound i wouldnt consider this a wound dehiscence. Abcess are left open to continue to drain, to me 12021 is when i wound rebreaks the skin and they do not want to close it right away but allow it to drain with plans on closing in the future. Am i off base here or does anyone else agree with me ?
Thanks
 
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