tci ED Coding & Reimbursement Alert - 2010 Issue 2

READER QUESTIONS: I&D Area Can Deflate 10060 Option

Question: The ED physician performs a level-four E/M service for a patient and diagnoses a peritonsillar abscess. Notes indicate that the physician aspirates the abscess to confirm the presence of pus, and then incises and drains it. Is this a 10060 incision and drainage (I&D)? Minnesota Subscriber Answer: These types of abscesses have their own I&D codes. For this encounter you would report the following codes: • 42700 (Incision and drainage abscess; peritonsillar) for the I&D • 99284 (Emergency department visit for the evaluation and management of a patient, which requiresthese 3 key components: detailed history...

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