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Wiki I&d w/ e/m?

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nscoder

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So I have a provider who performed a full E/M on a lesion, concluded it was an abscess and performed an I&D and gave an antibiotic perscription.
My question is would this be an E/M-25 w/ 10060 OR because the E/M was directed towards the abscess would this just be a 10060?
Its the wording "significant, separately identifiable" :confused: is where Im getting hung up. I would really appreciate any input.
 
I am not understanding how this is "significant, separately identifiable" if it only related to the abcess and performing the I&D. I would think this should be coded as only the 10600.
 
Well ....

Well ... if he didn't know it was an abcess to start and instead the patient came in for evaluation of a lesion, then he may likely have a significant, separately reportable E/M.

As usual, it all depends on the documentation.

F Tessa Bartels, CPC, CEMC
 
Thank you for the replies. If anyone knows where I can find documentation that the E/M is reported when the provider does a procedure after concluding the dx from the E/m I would really appreciate it.
 
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