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Thread: Posting I&D's and daily dressings

  1. #1
    Join Date
    Apr 2007
    Posts
    15

    Default Posting I&D's and daily dressings

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    If someone can help me I would appreciate it very much. We have a patient that came in with a terrible bit on their abdomen. The doc did an I&D, sent the fluild out for culture to rule out MRSA. He required the patient to come back in every day for a dressing change. What is the best way to code this. The patient is now going on day 15 of dressing changes. Thank you for your help!

  2. #2
    Join Date
    Apr 2007
    Location
    Milwaukee WI
    Posts
    4,451

    Default 10-day global

    I would need to see all the notes to give you an accurate response.

    In general, however, an I&D carries a 10-day global period for postoperative care.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Join Date
    Apr 2007
    Posts
    15

    Default I & d

    Hi and Thanks for responding.

    The original code of 10060 does carry a 10 day global but in this case he states over an over that this patient needs daily dressing changes. i dont think that falls into the normal description of the 10060. wouldnt you be able to add a 58 mod to the 10060?

    Another question, how do you normally code out 'dressing changes'? i understand what that is but in the coding world there really isnt a code for 'dressing change' unless it is a burn. what are your thoughts on that?

  4. #4
    Join Date
    Apr 2007
    Location
    Engelwood, CO
    Posts
    188

    Default

    If my doc thought the dressing change was outside routine post-operative care, then I would bill out a low level E&M with a 24 modifier. Unless patient is Medicare. Then it's a no-charge post op visit no matter what.

    Becky, CPC

  5. #5

    Default

    I think it's post-operative care since it's within the global. I would probably code it as a 99024 since it doesn't matter how many times she comes in for dressing changes be it every day or every other day,regardless of what insurance she has.

  6. #6

    Smile Cpc

    I would code it a 10061 complicated to allow for the re-packing, due to the fact of the 10 day global period.

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