tci ED Coding & Reimbursement Alert - 2009 Issue 14

READER QUESTIONS: Careful: 10060 Won't Wash for Some I&Ds

Question: A patient presents to the ED reporting pain in her spine. During the exam portion of a level-three E/M, the physician discovers that the painful area is red, and slightly warm to the touch. The patient also has a low-grade fever that she says she noticed about two days ago. The physician makes a shallow incision with a scalpel at the base of the patient's spine and drains the pus from the area. I reported 10060 and received a denial. Why? Kentucky Subscriber Answer: You chose a standard incision and drainage (I&D) code when you should have...

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