tci ED Coding & Reimbursement Alert - 2023 Issue Q3

You Be the Coder: Pilonidal Cyst I&D

Question: Encounter notes indicate that the physician performed an ED evaluation and management (E/M) service for a patient that included moderate-level medical decision making (MDM). The physician diagnosed ‘pilonidal cyst’ and performed an incision and drainage (I&D) on the cyst: the physician just made a single small incision and drained the cyst without complication. How should I code this encounter? I was thinking 10060 along with the ED E/M. AAPC Forum Subscriber Answer: You’ll code an I&D and an ED E/M — but don’t report 10060 (Incision and drainage of abscess (eg, carbuncle, suppurative...

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