Incision & Drainage – Coding Mastery
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Incision & Drainage – Coding Mastery

Complicated outlined for these codes? CPT 10060 includes a “simple” or “single” incision and drainage and 10061 features a “complicated” incision and drainage or “multiple” incision and drainages. The AMA addressed that query of their CPT Assist publication in December of 2006. The AMA said that the CPT manual itself does not present definitions for simple and complicated and that the code chosen is based on the physician’s judgment in regards to the degree of issue involved within the incision and drainage procedure. This brings us to a different questions: how are simple. In order coders, how will we pull out that detail from an operative report since we're not the physician making that judgment? So what makes 10060 and 10061 totally different from one another? If we glance on the examples in parentheses in the descriptions for these codes within the CPT guide, we will see that an incision and drainage of a carbuncle, hidradenitis, a cyst, a furuncle, paronychia, and cutaneous and subcutaneous abscesses can be reported with these codes.

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