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Incision and Drainage - toe cellulitis

  1. Default Incision and Drainage - toe cellulitis
    Medical Coding Books
    Had a provider report an incision and drainage of a toe cellulitis (abscess).
    On reading the note, she had used a 25g needle to "incise" the abscess.
    Based on the size of the needle, my go-to 'supercoder' provider agreed that this puncture isn't an incision. But she held that if a large gauge needle, say a 19 or 20 g was used and the abscess was drained, this would constitute an incision and drainage.
    I think that based on the definition of 'incision' as a cut with a sharp surgical instrument, the puncture by the large gauge needle still would not be sufficient to code a 10060 for the incision and drainage. Which is right? Large gauge needle puncture to drain an abscess justifies an I & D code - yes or no

  2. #2
    I agree with you. A cut or incision (not puncture) with a large bore needle (18, 19 or 20 gauge) would justify an I&D of an abscess. A puncture does not allow access for the insertion of a hemostat or culture tips, permit adequate drainage or irrigation.

  3. Default
    You stated, "the definition of 'incision' as a cut with a sharp surgical instrument" the needle is being used as a sharp surgical instrument that is incising not puncturing the skin and it creates a defect that is large enough to allow for drainage.

    We code the incision and drainage of an abcess with a large gauge needle as 10060.

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