ED Coding & Reimbursement Alert - 2017 Issue 1
Reader Question: Sharpen Your I & D Coding Skills
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Article Overview
This premium article explains how to think about a common office encounter involving a skin or soft-tissue drainage procedure and a same-day evaluation and management service. It is aimed at coders, billers, and clinical documentation staff who need to understand the general scope of the guidance, the code sets involved, and the documentation concepts that affect reporting. The article also touches on how the discussion relates to procedure complexity and separate-service support in a dermatology context.
Why This Topic Matters
Accurate reporting for incision and drainage encounters depends on distinguishing the procedure from any separately supported evaluation and management work. This article helps readers identify the relevant coding framework and the documentation themes that may affect whether one or two services are reported.
Article Sections
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Question
A brief clinical scenario presents a new patient with a wound infection and an office visit involving evaluation and drainage care.
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Answer
The response addresses the general coding approach for the encounter and introduces the related procedure and evaluation and management topics.
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Procedure code guidance
The article discusses the broader distinctions between different incision and drainage scenarios, including factors related to procedure complexity and wound management.
What You Will Learn
- How the article frames reporting for an office-based drainage encounter
- The general relationship between a drainage procedure and a separately supported evaluation and management service
- The documentation themes associated with different levels of incision and drainage coding
- How the discussion is organized around a dermatology office scenario
Who Should Read This
- Medical coders
- Medical billers
- Dermatology practices
- Revenue cycle staff
- Clinical documentation specialists
Codes Discussed
Modifiers Discussed
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