Results 1 to 2 of 2

pelvic abscess - how to code?

  1. #1
    Default pelvic abscess - how to code?
    Medical Coding Books
    Patient had pelvic abscess - Doctor did inscision into lower body cavity. An abscess was digitally entered in the left side of the pelvis. Creamy thich yellow pus was encountered.....later in dictation, Dr went on to do a left salpingectomy.

    Does this qualify as a 49020 even though Dr didn't incise the abcess?

    Ruth Ann

  2. Default
    Whether did the incision intentionally or accidentally, the abscess is opened, meaning, without "cutting' into its surface, cannot be drained.So it is classed under "INCISION" .The specificity of coding is for DRAINAGEof peritoneal abscess or localized peritonitis exclusive of appendicular. So any other abscess in the pelvis -be it PID abscess or ovarian or tubal peritubal whatever, all fall into these cateogory. There is no separate coding with the tube/ovary(abdominal) open method.So this 49020 is the most appropriate cpt coding. We can support it with ICD code 614.4. Then, for Salpingectomy uni/bilateral 58700 (Separate procedure)

Similar Threads

  1. Drainage of pelvic abscess
    By in forum General Surgery
    Replies: 2
    Last Post: 04-24-2012, 09:55 AM
  2. Pelvic Abscess
    By tlm5506 in forum OB/GYN
    Replies: 2
    Last Post: 02-24-2012, 04:39 AM
  3. Help w/ Evacuation of Pelvic Abscess
    By carol52 in forum General Surgery
    Replies: 1
    Last Post: 11-04-2011, 09:39 PM
  4. Help with drainage of pelvic intra abdominal abscess
    By DebbiePottsEngland in forum General Surgery
    Replies: 1
    Last Post: 07-07-2011, 10:27 AM
  5. Drainage of pelvic abscess during a Exploratory laparotomy
    By LYDIA123 in forum General Surgery
    Replies: 1
    Last Post: 11-20-2009, 01:53 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.