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I&d w/ e/m?

  1. #1
    Red face I&d w/ e/m?
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    So I have a provider who performed a full E/M on a lesion, concluded it was an abscess and performed an I&D and gave an antibiotic perscription.
    My question is would this be an E/M-25 w/ 10060 OR because the E/M was directed towards the abscess would this just be a 10060?
    Its the wording "significant, separately identifiable" is where Im getting hung up. I would really appreciate any input.

  2. Default

    You Have to Code E/M-25 W/10060
    Nandha CPC

  3. #3
    I am not understanding how this is "significant, separately identifiable" if it only related to the abcess and performing the I&D. I would think this should be coded as only the 10600.

  4. #4
    Milwaukee WI
    Default Well ....
    Well ... if he didn't know it was an abcess to start and instead the patient came in for evaluation of a lesion, then he may likely have a significant, separately reportable E/M.

    As usual, it all depends on the documentation.

    F Tessa Bartels, CPC, CEMC

  5. #5
    Thank you for the replies. If anyone knows where I can find documentation that the E/M is reported when the provider does a procedure after concluding the dx from the E/m I would really appreciate it.

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