tci ED Coding & Reimbursement Alert - 2003 Issue 11

Reader Question: Be Careful Identifying Post-Op Care

Question: A patient presented with a leg abscess, which the physician drained and packed. The patient returned two days later for evaluation of the wound, and the physician removed the original packing, irrigated the wound and placed new packing. How should I bill this? Can I report the two visits separately, or is the follow-up included in the original code? Ohio Subscriber Answer: When considering postprocedure follow-up visits, you must meet certain criteria in order to bill an E/M code. Code the initial draining and packing with 10061 (Incision and drainage of abscess [e.g., carbuncle, suppurative hidradenitis, cutaneous...

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