I'm thinking this is just an I & D of an ulcer-abscess (10060) but my co-worker wants to bill a 49021-but I just don't think that's what the physician did.
..."general anesthesia was induced and abdomen was prepped and draped sterily. An elliptical incision was made around the central necrotic ulcer and this was excised. Subcutaneously about a 5-10 cc pocket of purulent fluid was encountered, this was cultured and explored digitally to break up any loculations. The area was packed with guaze."
Any advice on which direction to go?
..."general anesthesia was induced and abdomen was prepped and draped sterily. An elliptical incision was made around the central necrotic ulcer and this was excised. Subcutaneously about a 5-10 cc pocket of purulent fluid was encountered, this was cultured and explored digitally to break up any loculations. The area was packed with guaze."
Any advice on which direction to go?