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I&D help, please

  1. #1
    Default I&D help, please
    Medical Coding Books

    Not sure how to code this and need some help.

    Pt had an ID on left side of groin and then 18 days later developed right groin pain and a lump. Given the likelihood of an underlying abscess and his history of left groin abscess, decision was made to perform an I & D, however, following the incision there was no pus noted. Three days later, there was pus noted. How would I bill this out?? Would it be an I & D on the right?

    Thanks for the help

  2. #2
    Milwaukee WI
    Default Need to see the documentation
    In general the rule is that doctors document what they do and coders code what is documented. I know that doesn't help much ... Can you post the note(s)?

    F Tessa Bartels, CPC, CEMC

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