tci ED Coding & Reimbursement Alert - 2009 Issue 8

READER QUESTIONS :Avoid 2-Code ClaimWithout Separate E/M Proof

Question: A patient reports to the ED with a swollen bump on her left arm. Notes indicate that the physician performed an incision and drainage (I&D) on the wound, sent the patient home, and instructed her to follow up with her primary care physician in five to seven days. Can I report a separate E/M in this scenario? Minnesota Subscriber Answer: If the chart contains only the information in your question, then you should not code a separate E/M. On the claim, report 10060 (Incision and drainage of abscess [e.g. carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess...

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