AAPC - Back to school
Results 1 to 3 of 3

Thread: I&d scrotal and perineal abscess

  1. #1

    Default I&d scrotal and perineal abscess

    AAPC: Back to School
    I am asking please for suggestions on how to code this procedure.
    I honestly not even sure what to use. Thanks

    PROCEDURE: With the patient under good laryngeal mask airway anesthesia, he was placed in lithotomy position where the entire perineal area was prepped with Betadine and then draped under buttocks. The perirectal abscess on the right side was incised with approximately a 2 inch incision. This was probed deep until bloody and brown tinged, foul smelling fluid was retrieved.This was palpated with a fingertip and appeared to extend posteriorly to the posterior anal canal and then anteriorly along the right side well to the perineum. A counter incision was made in the right base of the hemiscrotum and these two areas were connected. The entire pocket of purulent
    fluid was felt to contain several cups of this fluid and the surrounding cellulitis was noted to be significant. The wounds were connected by palpation and fingertip dissection and then a Penrose drain was placed through the two wounds and secured externally with interrupted silk sutures. The wound was irrigated with vigorous irrigant in an attempt to flush out as much infectious process as
    could be removed. Cultures had been taken prior to flushing.

  2. #2
    Join Date
    Apr 2007
    Pensacola, Fl

    Default I would use the following:

    46040 I&D, perirectal abscess, and 54700-51 I&D scrotal space.

  3. #3


    thank you so much.

Similar Threads

  1. Perineal abscess
    By Hibbs in forum General Surgery
    Replies: 1
    Last Post: 12-02-2015, 10:40 AM
  2. Debridement/Perineal abscess???
    By keke74 in forum General Surgery
    Replies: 1
    Last Post: 01-21-2014, 03:53 PM
  3. Debridement/Perineal abscess??
    By keke74 in forum General Surgery
    Replies: 1
    Last Post: 01-10-2014, 06:03 PM
  4. 45990 vs 46660 for perineal abscess billed by Urologist
    By dsproveri in forum General Surgery
    Replies: 0
    Last Post: 07-02-2013, 09:10 AM
  5. Incision and drainage of perineal abscess
    By daniel in forum Urology
    Replies: 1
    Last Post: 04-19-2012, 02:04 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.