tci General Surgery Coding Alert - 2017 Issue 3

Reader Question: Watch for Site-Specific I&D

Question: Our surgeon reviewed a 29-year-old female patient with complaints of acute pain and tenderness in the area of the wrist. Upon examination, he diagnosed the patient with a deep abscess not involving the bursa, and performed an incision to drain the abscess. The op report documents performing extensive probing to break down loculations, and then cleaning and irrigating the wound along with placing sutures and dressings. What code should we use to report this procedure? SuperCoder Subscriber Answer: In this case scenario, the best choice is 25028 (Incision and drainage, forearm and/or wrist; deep abscess or hematoma) for...

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