Wiki I&D foot abscess, below fascia

[klienhart]

Hi,

Wondering how to code this I&D of a foot abscess. Cannot use 11044 due to LCD. Was wondering if I can use 28002. Thanks for any help!

Fifteen blade was used to make an incision through the skin and subcutaneous tissue. Abscess cavity was identified. Purulent drainage noted. Cultures obtained. Curette was used to debride the abscess cavity. Area of the necrotic skin was also evaluated. necrotic skin was resected from dorsal part of the foot using a 15 blade.. Abscess cavity was noted. Curette was used to debride the purulent an abscess, muscle fascia extensor tendon a curette was used to debridement of the tarsal bone was copiously irrigated.

Wish the provider had documented this better.

 

[NRaizman]

This is an I&D of a relatively simple abscess. 10060 vs 10061.

 

[amyjph]

Hi,

Wondering how to code this I&D of a foot abscess. Cannot use 11044 due to LCD. Was wondering if I can use 28002. Thanks for any help!

Fifteen blade was used to make an incision through the skin and subcutaneous tissue. Abscess cavity was identified. Purulent drainage noted. Cultures obtained. Curette was used to debride the abscess cavity. Area of the necrotic skin was also evaluated. necrotic skin was resected from dorsal part of the foot using a 15 blade.. Abscess cavity was noted. Curette was used to debride the purulent an abscess, muscle fascia extensor tendon a curette was used to debridement of the tarsal bone was copiously irrigated.

Wish the provider had documented this better.

What was the diagnosis, just abscess? It wasn't a post-op wound, right?
Why can't you use 11044? No bone removed and that it was I&D of an abscess, not stated as excisional? It says, " curette was used to debridement of the tarsal bone".
Debridement coding is always frustrating when the documentation is not super detailed.