tci ED Coding & Reimbursement Alert - 2023 Issue Q2

Procedure Coding: Know I&D Differences to Flesh Out Correct Codes

Multiple I&D will mean 10061. When your provider performs incision and drainage (I&D) for an ED patient, coders need to be ready to roll with knowledge on the definitions of each code. Failure to separate I&D by type could result in upcoding or downcoding — and both are big red flags in payers’ eyes. Stay compliant and code right every time with this I&D primer. Use 10060 for Simple/Single I&D When the ED provider performs an I&D, it is typically for “a superficial localized abscess or cellulitis. This could be due to...

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