tci ED Coding & Reimbursement Alert - 2019 Issue Q4

Reader Question: Note Mention of I&D When Treating Paronychia

Question: We billed the following service with 26010, but an auditor said it should have been reported with 10060. Can you advise? Here is the procedure note from the chart documentation: Musculoskeletal/extremity: Extremities: grossly normal except noted in the palmar aspect of distal phalanx of left thumb: decreased ROM, pain, tenderness, mild swelling, There is no evidence of ecchymosis, warmth, joint tenderness, ROM: pain with active range of motion left thumb. No pain with passive range of motion left thumb. No pain with range of motion in any left fingers or left wrist, Perfusion: the extremity is normally perfused...

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