Dermatology Coding Alert

You Be the Coder:

Repeat I&D

Question: A patient came in and had an incision and drainage of an abscess. She came back four days later to get the wound repacked. Can we report 10060 again? 

Codify Subscriber

Answer: No. Because the second visit was within the 10-day global period for 10060 (Incision and drainage of abscess [e.g., carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia]; simple or single), you cannot code for the repacking of the wound.
 
However: If the dermatologist did not perform a therapeutic procedure (10060) during the initial visit and simply bandaged the abscess with instructions to return in follow-up a few days later, you’ll report the appropriate E/M code, such as 99212 (Office or other outpatient visit for the evaluation and management of an established patient …), at the time of follow-up in addition to whatever E/M code you reported for the initial encounter.