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View Full Version : Cpt code 10060 & 10061


odmlindsey
10-16-2009, 12:38 PM
The dr in my office performed an incision and drainage on a pt and she thinks we should code a 10061 but the cpt book is very unclear as to what would qualify as complicated please help!

magnolia1
10-16-2009, 12:55 PM
Per the Coders Desk reference.....

10060---for incision and drainage of a simple or single abscess.

10061---For complicated or multiple cysts, the physician may place a Penrose latex drain or gauze strip packing to allow continue drainage. Complicated cysts may require later surgical closure.

odmlindsey
10-16-2009, 01:15 PM
Thank you for the quick response i did see it could also qualify if multiple cysts were done. Which in this case the dr did an addendum to multiple cysts.

RebeccaWoodward*
10-19-2009, 07:54 AM
Per the AMA, the choice of code is at the physician's discretion, based on the level of difficulty involved in the incision and drainage procedure