Wiki incision and drainage?

[ahodge90]

I am not sure which code would be appropriate to use in this situation. I have a doc that incised the foot to remove what was believed to be a foreign body. Turned out that there was not a foreign body in the area, so all that was done was debridement of necrotic tissue and then the area was irrigated and closed.
Am I correct in thinking that because this was not an open wound and because an incision was made first and then the debridement was done, I shouldn't code this as 11042, but this is actually coded as 10060? The diagnosis was Cellulitis. and "possible" foreign body.

 

[Orthocoderpgu]

You are correct. If you have to make an incision before performing debridement the 110XX codes are off the table. Assuming that the doctor did not go past the subcutaneous tissue 10060 would be appropriate.

 

[ahodge90]

You are correct. If you have to make an incision before performing debridement the 110XX codes are off the table. Assuming that the doctor did not go past the subcutaneous tissue 10060 would be appropriate.

Thank you very much for helping me!