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Incision & Drainage post infection

  1. Default Incision & Drainage post infection
    Medical Coding Books
    Patient comes in 2 days after I & D performed, has infection at the site. Dr. does more drainage, wound packing. I don't think the initial procedure of 10060 has a global period so I want to code this visit with E/M (??)also not sure what Dx codes to use. here is the dictation. Any Ideas? Thanks!! Wound is on the chest


    Wound Check / Suture / Staple Removal
    Wound Examination
    The wound has edema, exudates, purulent drainage. The wound appears infected.

    Wound Care
    Wound Care performed: wound packed with iodoform gauze. Local anesthesia was used.

    Patient was provided with wound care instructions. Call for chills, fever, pain Patient was advised to return for a follow up wound check visit in 2 days.

    Comments: The cellulitis has localized more around the indurated area. There is no extension of the cellulitis. I opened the area up a little more and got another 5-6cc of purulent drainage. No material could be expressed from the lateral area of induration. Culture results not available at this time.

  2. #2
    Milwaukee WI
    Default 10-day global
    CPT 10060 has a 10-day global period.

    F Tessa Bartels, CPC, CEMC

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