tci ED Coding & Reimbursement Alert - 2008 Issue 12

Recognize What Separates Pilonidal, Standard Cysts or Risk Rejection

Procedure similar to standard I&D, but codes differ If you report 10060 or 10061 when your ED physician performs I&D on a pilonidal cyst, you-ll trigger a denial for not using the procedure's specific codes. While you will code most of your ED physician's incision and drainage (I&D) procedures with 10060 (Incision and drainage of abscess [e.g., carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia]; simple or single) or 10061 (- complicated or multiple), you-ll also need to know what constitutes a pilonidal cyst. A pilonidal cyst forms at the bottom of...

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