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Wiki Rt lower quadrant abdominal wall abscess - pt brought to op room placed

bill2doc

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Op reads:
pt brought to op room placed in supine position. Abdominal wall was then prepped and draped in the standard fashion. Local anesthesia was initiated. An elliptical segment of tissue was incised and passed off the field of the specimen. The abscessed cavity was then entered. Frank pus was evacuated using suction. The abscessed cavity was then copiously irrigated w/ sterial normal saline. The cavity was then packed with 1 inch strips of gauze. Dressings were applied. Patient allowed to awak and brought to recovery in good condition.

First can you help with the CPT code for this procedure.

Second, earlier in the day, doc did a consult for the decision for the surgery. Would I use both 57 and 25 mods on the consult since both consult and procedure were on same day?

Thank you!
 
Assuming subfascial 20005-25. If subfascial, see body site first, and if no I & D code use 20005. If cutaneous/subcu, see 10060/1. It has a 10 day global so you use -25.
 
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