tci Outpatient Facility Coding Alert - 2017 Issue 1

Reader Question: Sharpen Your I & D Coding Skills

Question: A new patient comes to the office with complaints of acute pain and tenderness in the heel of his left foot. The patient says he suffered the injury three days ago when he stepped on a nail. After a detailed history and examination, the dermatologist determines that the area is inflamed, tender, and infected with pus. The dermatologist provides an evaluation and management (E/M) service and notes indicate low-complexity medical decision making to pinpoint the injury. Using a No.11 scalpel, she makes an incision and drains the pus from the wound. The dermatologist then irrigates and dresses...

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