Page 1 of 2 12 LastLast
Results 1 to 10 of 12

Mons pubis abscess

  1. #1
    Location
    Greeley, Colorado
    Posts
    2,045
    Default Mons pubis abscess
    Exam Training Packages
    The patient had 3 abscesses I&D'd - one large on the mons pubis, one small on the labia majora and one small on the lower abdomen. Would you code 56405 for the mons pubis and 10061-59 for the other two?
    Lisa Bledsoe, CPC, CPMA

  2. #2
    Location
    Bradenton, Fl
    Posts
    82
    Default
    Hey Lisa,

    I would code them all from the integumentary system. Codes 56405-59899 deal with the vulva, perineum and interoitus, vagina, cervix, uterus, oviducts, and ovaries. The Mons pubis and libia majora are not considered in the perineum, so I say you could use 10061 for all three.

    Hope this helps and correct me if I'm wrong but that's what I see.
    Angie Olson, CPC

  3. #3
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    no, I wouldn't code the 56405 for the mons pubis...I'd be using the abdomen code for that area as well. Mons pubis is basically - 'on top' ...the fatty tissue above the pubic bone - (normally covered by hair once puberty hits)

    {that's my opinion on the posted matter}

    yup...I agree with Angie
    Last edited by dmaec; 09-22-2008 at 12:38 PM. Reason: to agree with Angies post!
    Donna, CPC, CPC-H

  4. #4
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    HI girls! This is the definition of 56405 from EncoderPro CPT lay descriptions:

    "The vulva includes the labia majora, labia minora, mons pubis, bulb of the vestibule, vestibule of the vagina, greater and lesser vestibular glands, and vaginal orifice. The perineum is the area between the vulva and the anus. The physician makes an incision into the abscess at its softest point and drains the purulent contents. The cavity of the abscess is flushed and often packed with medicated gauze to facilitate drainage."

    Based on this definition of the code, would you still only code integ?

    Lisa
    Lisa Bledsoe, CPC, CPMA

  5. #5
    Location
    Bradenton, Fl
    Posts
    82
    Default
    Hi Lisa,

    You are absolutely right! I was looking at a picture (lovely) and placing each area not paying attention that the vulva includes all that. I was more focused on the perineum which all your areas are out of. So....I guess you could use that 56405 for the mons pubis and libia and use the integ. for the abdomen. Great call!
    Angie Olson, CPC

  6. #6
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    hmm..well, though in the CDR it does state that, I don't see how the mons pubis can be included in the vulva area.... that being said, I probably still wouldn't use that code for the mons - however, THAT being said, it wouldn't be wrong to use it according to the CDR description.

    I'm not being much help am I
    Donna, CPC, CPC-H

  7. #7
    Location
    Bradenton, Fl
    Posts
    82
    Default
    Donna I'm with you....I didn't think it would be in the vulva either. But, in the anatomy book is says exactly what Lisa said! So I guess we all learned something new today!
    Angie Olson, CPC

  8. #8
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    LOL true Angie - amazing what we learn isn't it!
    Donna, CPC, CPC-H

  9. #9
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    Ok - so I went to my Taber's...this edition includes an illustration. Based on this information and the CDR, looks like I really have 2 I&D's of the vulva (mons pubis and labia majora0 and one integ of the lower abdomen... Which leads me to wonder if I can code 56405, 56405-59, 10061-59...???

    (Taber's states "that portion of the female external genitalia lying posterior to the mons vernis, consisting of the labia majora, labia minora, clitoris, vestibule of the vagina, vaginal opening, Bartholin's glands.")

    I appreciate your help ladies!!
    Lisa Bledsoe, CPC, CPMA

  10. #10
    Location
    Bradenton, Fl
    Posts
    82
    Default
    Hey Lisa,

    I was trying to find confirmation that you could code them separately like you did and I can't find anywhere that it says you can't. I found if there were lesions in the same area you only code once but nothing about abscess. I would think you could because it doesn't say anything about single or multiple abscess, not even in the integ. section.

    At this point you may know the answer already!
    Angie Olson, CPC

Page 1 of 2 12 LastLast

Similar Threads

  1. coding for cementing sacral pubis not sacroplasty?
    By RSTorrez in forum Interventional Radiology
    Replies: 1
    Last Post: 04-24-2014, 11:56 AM
  2. Abscess-This patient
    By cnramsey in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 06-14-2012, 01:31 PM
  3. Mons Pubis hidradenitis
    By codedog in forum Outpatient Facilities
    Replies: 0
    Last Post: 05-15-2012, 10:33 AM
  4. I&D abscess of mons pubis
    By cmweber in forum Family Practice
    Replies: 4
    Last Post: 05-20-2011, 08:41 AM
  5. Abscess
    By NESmith in forum General Surgery
    Replies: 4
    Last Post: 05-26-2010, 10:16 AM

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?

Login

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.