tci ED Coding & Reimbursement Alert - 2010 Issue 6

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 SubscriberAnswer: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&D99284 (Emergency department visit for the evaluation and management of a patient, which requiresthese 3 key components: detailed history; a detailed examination; and medical decision making...

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