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I & D of abscess

  1. #1
    Smile I & D of abscess
    Medical Coding Books
    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. Default
    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. Default Coding specialist
    Add a modifier 59 to the 96372 and it should be okay.

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