Results 1 to 3 of 3

I&D or E/M?

  1. #1
    Default I&D or E/M?
    New Call-to-action
    New patient presents in office to have wound repacked after I&D of the gluteal crease from another physician. Encounter form indicated packing. I informed the physician that I was not aware of a packing code and that an E/M can only be charged since there was no incision. After speaking to the physician, he did indicate that he deride into sub-q tissue before packing.

    The code that I chose was 11042 Debridement; skin, and subcutaneous tissue.
    Does this code selection seem correct or am I over looking something?

  2. #2
    You need to go by what is in the documentation, not by what the dr tells you they did when you asked them about it.

    As to if that it is the correct code, it is impossible to decide that, since we don't know what is in the note from the procedure / encounter.

  3. #3
    North Carolina
    Does documentation support 12021?

    There has been a breakdown of the healing skin either before or after suture removal. The skin margins have opened (<--This may be the deciding factor). The physician cleanses the wound with irrigation and antimicrobial solutions. The skin margins may be trimmed to initiate bleeding surfaces. Report 12021 if the wound is left open and packed with gauze strips due to the presence of infection. This allows infection to drain from the wound and the skin closure will be delayed until the infection is resolved.
    Rebecca CPC, CPMA, CEMC

    Your click COUNTS...

    CLICK to give FREE mammograms!

Similar Threads

  1. Replies: 0
    Last Post: 08-07-2015, 12:40 PM
  2. ICD9 allowable coding for 93880 & 83882 & 93875
    By twinger in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-14-2014, 12:09 PM
  3. Does cpt 73562 & 73565 applies to this report w/ mod 59 & 26?
    By she803 in forum Interventional Radiology
    Replies: 4
    Last Post: 10-08-2012, 11:44 PM

Tags for this Thread

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.