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Thread: Cpt code 10060 & 10061

  1. #1
    Join Date
    Apr 2007
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    Modesto, Ca.
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    Default Cpt code 10060 & 10061

    The dr in my office performed an incision and drainage on a pt and she thinks we should code a 10061 but the cpt book is very unclear as to what would qualify as complicated please help!

  2. #2
    Join Date
    Apr 2007
    Location
    Albany, New York
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    Per the Coders Desk reference.....

    10060---for incision and drainage of a simple or single abscess.

    10061---For complicated or multiple cysts, the physician may place a Penrose latex drain or gauze strip packing to allow continue drainage. Complicated cysts may require later surgical closure.
    Karen Maloney, CPC
    Data Quality Specialist

  3. #3
    Join Date
    Apr 2007
    Location
    Modesto, Ca.
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    Default

    Thank you for the quick response i did see it could also qualify if multiple cysts were done. Which in this case the dr did an addendum to multiple cysts.

  4. #4
    Join Date
    Apr 2007
    Location
    North Carolina
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    Default

    Per the AMA, the choice of code is at the physician's discretion, based on the level of difficulty involved in the incision and drainage procedure

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