tci ED Coding & Reimbursement Alert - 2002 Issue 11

READER QUESTION: Paronychia I&D With E/M

Question: A father brought his son to the emergency department for a swollen finger that had pus draining from the puncture site. The ED physician's examination revealed swelling along the radial aspect of the index fingernail fold into the base of the nail. The volar pad was soft, with no swelling or inflammation proximal to the DIP joint. The physician prepped the finger and made a 7-mm incision to drain the pus. The wound was then irrigated and a small amount of packing placed in it. The physician did not remove the nail. The physician also started the patient...

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