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Thread: Initial Consult/ Procedure

  1. #1

    Default Initial Consult/ Procedure

    AAPC: Back to School
    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
    Join Date
    Apr 2007

    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. #4


    Thanks everyone

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