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Thread: I & D of abscess

  1. #1

    Smile I & D of abscess

    AAPC: Back to School
    I received a denial on an I & D. Physician did an I & D(10060) and also gave an injection insurance is denying admin. fee (96372) saying it is bundled. I looked in the CPT book again an it does not state on the I & D that it is with injection. Help please. Could they be denying it because it is the same site?

  2. #2


    If the injection was given for a different reason than having to do with the procedure then you need a modifier on the injection. According to CCI they do bundle, but a modifier is allowed to differenciate between the services provided. If the injection was part of the procedure you will not be able to bill for it.

  3. #3

    Default Coding specialist

    Add a modifier 59 to the 96372 and it should be okay.

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