tci ED Coding & Reimbursement Alert - 2023 Issue Q4

Reader Questions: Use This Guidance to Report … Guidance

Question: Encounter notes indicate that the ED physician performed a puncture aspiration of a bulla. During the aspiration, the physician employed guidance for the needle placement. Can I code separately for the guidance? Iowa Subscriber Answer: Yes, you should report the guidance separately — you just have to figure out which guidance code best suits your situation. Do this: Report 10160 (Puncture aspiration of abscess, hematoma, bulla, or cyst) for the puncture aspiration. Then, go back and check the notes for more information on the type of guidance the physician employed. Then, choose one of the following codes to...

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