Wiki Incision, drainage & Revison

[klapetri@ilovemygyn.com]

OB/GYN: NY

Need help!

What CPT code(s) would be used for Incision, Drainage and Revision of Clitoral Carbuncle?

Physician will be doing procedure in ambulatory surgi-center

Appreciate the help

 

[thomas7331]

I don't think you can assign a code just from this - a 'revision' could be a lot of different things. If you don't have an operative report, then I think you'll have to query the physician to get some more detail about the work he or she plans to perform.

 

[csperoni]

I would think likely 56405, but without more information, that is an educated guess. As Thomas mentioned, it is the "revision" that opens more questions.

 

[klapetri@ilovemygyn.com]

clitoral carbuncle with granulation tissue/--removed/excised and revised

 

[csperoni]

Still leaning toward 56405. If the only documentation is what you stated, this does not justify a -22 or additional debridement code.

 

[SharonCollachi]

clitoral carbuncle with granulation tissue/--removed/excised and revised

I think we got that the first time, but what does REVISED mean in your scenario? A revision usually means that something needs to be fixed that has gone wrong, or gone wrong over time. For instance, if a scar developed that was interfering with movement of a joint, it might need to be surgically revised (cut out, incision sewn back together). Or a knee replacement that has developed problems may need a revision, which is likely not as complicated as the original surgery.

So again, what does REVISED mean to you?