Wiki Doctor did a different procedure than he planned at the last minute

bcouncil

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A patient was going in for a scrotal abscess excision but he ended up having a urethral incision and drainage of the peritoneal cavity with drainage device. Do I code for the abscess excision with a 22 modifier for increased services or do I code for the scrotal abscess excision with a 53 for discontinued services and then code the urethral I & D separately? Or none of the above? Can I just simply code for the urethral I & D and just send supporting documentation?

Thanks!
 
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