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Breast Abscess

  1. #1
    Question Breast Abscess
    Exam Training Packages
    Patient arrives with a gapping hole with foul smelling drainage in her breast. Wound was cultured and packed. Patient was sent to plastic surgeon because she has implants and provider was thinking the implant would need to be removed.

    How should I code for my provider packing this abscess? It was not really an I&D, because he did not have to make an incision.
    penny0222

  2. #2
    Default abscess
    This seems like it would just be considered part of the E/M since he did a dressing. Cleaning of wounds, dressing is inclusive to the E/M is my understanding.
    Anyone else?

  3. Default
    Did he puncture the wound? He would have to drain it some way, Whether punture. excision, incision.

  4. #4
    Default penny0222
    No, the wound was already open and draining. He did not need to incise or puncture.
    penny0222

  5. #5
    Default
    No, the wound was already open and draining, he did not need to incise or puncture.
    penny0222

  6. #6
    Location
    Albany, New York
    Posts
    457
    Smile
    I agree with Anna W.
    Sounds like the "packing" would be part of E/M.

    Karen Maloney, CPC
    Data Quality Specialist

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