GAcoder
Guest
Patient is diagnosed with abscess and cellulitis in one site between breasts. Should both codes be coded or just abscess? Treated with antibiotic.
Thank you
Thank you
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Wiki can abscess and cellulitis be in same site?
- Thread starter GAcoder
- Start date
CodingKing
True Blue
If both are documented you need to code both.
cgaston
True Blue
L03.313 (cellulitis of chest wall) has an excludes note for N61 (abscess of breast) so you should not bill them together.
I know our software will flag claims if we bill codes with "excludes notes" together.
I know our software will flag claims if we bill codes with "excludes notes" together.
CodingKing
True Blue
I see an excludes2 which means you can code both if necessary
mitchellde
True Blue
In ICD-10 CM there are two types of excludes notes. Exclude 1 means you cannot code these together, excludes 2 means it is not included here and if documentation supports both conditions, you just code both codes to indicate both conditions. Your software should not be editing out the excludes 2 conditions.
cgaston
True Blue
What should happen and what actually happens are usually two different things. I didn't write the program, I just have to work around it. 
CodingKing
True Blue
What should happen and what actually happens are usually two different things. I didn't write the program, I just have to work around it.
This is something they can likely fix.