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How to Code Superficial Incision and Drainage of an Abscess Before you code a superficial incision and drainage (I D) of an abscess, it’s important to know whether the procedure is simple or complicated During an I D, the provider makes an incision over and into the abscess cavity and allows it to drain
Billing and Coding: Incision and Drainage (I D) of Abscess of Skin . . . Claims for CPT codes 10060 or 10061 with diagnosis of furuncle carbuncle (ICD-10-CM code L02 621, L02 622, L02 631, L02 632), suppurative hidradenitis (ICD-10-CM code L73 2) will be subject to review, as these diagnoses are not commonly found in the foot
Incision and Drainage (I D) - KZA You should report CPT code 10060 for incision and drainage of a simple or single abscess and CPT 10061 for complex or multiple cysts Complex or multiple cysts may require surgical closure at a later date
How To Use CPT Code 10060 - Updated 2025 - Coding Ahead CPT code 10060 represents the surgical procedure of incision and drainage (I D) of a simple or single abscess This code is utilized when a healthcare provider performs a straightforward incision to access and drain a localized collection of pus
What are CPT Code for Incision and Drainage of Abscess? When an abscess must be packed or more than one incision is required, code 10061 is use to describe a more difficult case If the doctor opens a swollen, infected area (called an abscess) to let out the pus, it’s formally called an incision and drainage procedure
Coding Incision and Drainage - AAPC Knowledge Center Let’s look at how to code I D procedures to achieve appropriate reimbursement for the healthcare provider The Key to I D Incision and drainage procedures are classified under CPT ® codes 10060-10180
Incision and Drainage FAQ - ACEP Additionally, details of the wound, such as pre-procedure size, precise location, and type of lesion (e g , abscess, paronychia, hidradenitis suppurativa, furuncle, carbuncle, lymphangitis, hematoma, cyst) should be reflected in the ED chart
Documentation Pearls for Navigating Abscess Incision Drainage Codes A simple I D, 10060, is one that is performed by lancing the lesion or using needle aspiration In 2016, this is worth 2 77 relative value units (RVUs) On the other hand, a complex I D is one that may require you to probe the lesion, break up loculations, and pack the wound after irrigation 1 This is worth 5 12 RVUs in 2016
How To Use The CPT Codes For Incision And Drainage Of Abscess CPT 10060: Incision and drainage of abscess (e g , carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess), simple Lay Term: This code is used for simple drainage of superficial abscesses without complications Common Sites: Skin and soft tissue (e g , face, extremities, trunk)
Small Errors Could Cost Big Bucks When Billing for I D Billing code 10060 instead of code 26010 once a week results in a loss of $7,862 40 a year Treatment for paronychia using a simple incision just below the skin’s surface (and documented as such) would be billed correctly using CPT code 10060