tci ED Coding & Reimbursement Alert - 2024 Issue Q2

Reader Questions: Note Procedure Details to I.D. Abscess Drainage Type

Question: What is the difference between a simple and complicated finger abscess drainage? Texas Subscriber Answer: The codes for each are different, as are the actions the ED physician will take for each drainage type. Report simple abscess drainage with 26010 (Drainage of finger abscess; simple). During this procedure, the physician will find the abscess in the superficial subcutaneous tissue of the finger and drain it with a needle. They will also pack the wound with gauze. Report complicated abscess drainage with 26011 (… complicated (eg, felon)). For a complicated drainage, the physician will first remove any dirt, blood...

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