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Initial Consult/ Procedure

  1. Default Initial Consult/ Procedure
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    I have an initial hospital consultation in which the dr drained a scrotal abcess. Are we able to bill for the drainage of the scrotal abcess? If so what codes do I use?

    Thanks in advance.

  2. #2
    Default Reference

    Page 38 discusses coding for consult with tx. I don't have the code for the procedure though.

  3. #3
    Look at 55100 for incision and drainage of a scrotal wall abscess. There is also a note (See also 54700). Both have a 10 day global so with supporting documentation that the decision for the procedure was made during the E/M, whether it be a consult or initial inpatient visit, append modifier -25 to E/M.

  4. Default
    Thanks everyone

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