tci ED Coding & Reimbursement Alert - 2008 Issue 3

Reader Questions: Include I&D in Excision

Question: A patient with a simple pilonidal cyst reports to the ED. The ED physician decides to incise and drain infected abscess material from the cyst before performing a more formal excision. The physician provided both services during the same visit. Can we code the I&D separately? Georgia SubscriberAnswer: You can't report the incision and drainage (I&D) separately in this instance.Explanation: CMS guidelines set forth in the Correct Coding Initiative (CCI) state, "In cases where, in the course of an excision of a lesion, an area of involvement is identified which requires drainage, either as a...

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