tci Medicare Compliance & Reimbursement - 2014 Issue 18

Reader Question: Look Back on the Documentation of Initial Visit for Follow-up Claims

Question: A patient saw our physician because of an abscess, and returned for a follow-up a few days later. Can we charge anything for the follow-up visit if we just examined the site and changed the bandages? Answer: The answer depends on what service your physician provided during the initial visit. If he performed an incision and drainage (I&D) of a skin abscess, you probably reported 10060 (Incision and drainage of abscess [e.g., carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia]; simple or single). The CPT® code 10060 includes a 10-day follow-up period. If...

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