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I&D w/ E/M?

  1. #1
    Cool I&D w/ E/M?
    Medical Coding Books
    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
    Quote Originally Posted by n_boxx View Post
    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.
    If the patient did not specifically come in for an I&D and the physician did an examination and then decided to do an I&D, then you can code the E&M with a modifier 25 with the 10060 or 10061, whichever is the right one.

  3. #3
    Location
    Jacksonville, Florida
    Posts
    11
    Default
    I agree it would be an E/M code with an 10060 or 10061 for the I & D with a mod 25 on the E/M code.

  4. #4
    Default
    Great, thank you all so much. I appreciate the help.

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