V58.3x has always been allowable as a first listed dx code. Here is what the guidelines have to say regarding the use of an aftercare code:
Aftercare visit codes cover situations when the initial treatment of a disease or injury has been performed and the patient requires continued care during the healing or recovery phase, or for the long-term consequences of the disease. The aftercare V code should not be used if treatment is directed at a current, acute disease or injury. The diagnosis code is to be used in these cases.
So if the abcess is still an acute problem requiring continued acute treatment then use the abcess, if the abcess is documented as healing, then use the V58.3x code, however do not use both.
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