incision and drainage of knee abscess

[CCANTER]

i am struggling whether to use cpt code 27301 versus 10061 please
Right knee subcutaneous and deep abscesses from traumatic crush injury
Description of Procedure: After correctly identifying the patient by visual recognition conversation armband while in the operating room the patient was laid supine on the operating table. the patient then underwent general anesthesia. Right lower extremity was then prepped and draped in standard sterile fashion. The right knee was then examined. Then wound was fairly well granulated with a significant mount of overlying fibrinous material. Initial probing did not reveal any significant cavities however upon more extensive probing with a hemostat she was found to have a deep pocket extending about 5 cm posteriorly and 2 cm superiorly along the myofascial layers. When this was opened using a hemostat there was very little semipurulent discharge obtained. Wound cultures were obtained at this level. The wound was then irrigated using 3 L of iodine Pulsavac. With wound washout complete superficial debridement was also performed using sharp debridement to remove the remainder of the fibrinous material. The wound was then packed with quarter inch iodoform packing.

 

[mk2001]

i am struggling whether to use cpt code 27301 versus 10061 please
Right knee subcutaneous and deep abscesses from traumatic crush injury
Description of Procedure: After correctly identifying the patient by visual recognition conversation armband while in the operating room the patient was laid supine on the operating table. the patient then underwent general anesthesia. Right lower extremity was then prepped and draped in standard sterile fashion. The right knee was then examined. Then wound was fairly well granulated with a significant mount of overlying fibrinous material. Initial probing did not reveal any significant cavities however upon more extensive probing with a hemostat she was found to have a deep pocket extending about 5 cm posteriorly and 2 cm superiorly along the myofascial layers. When this was opened using a hemostat there was very little semipurulent discharge obtained. Wound cultures were obtained at this level. The wound was then irrigated using 3 L of iodine Pulsavac. With wound washout complete superficial debridement was also performed using sharp debridement to remove the remainder of the fibrinous material. The wound was then packed with quarter inch iodoform packing.

I would code 27301. The description for it matches what was described for the procedure. We use 10060 & 10061 but not usually for anything that deep.