Incision & Drainage – Coding Mastery
Incision & Drainage – Coding Mastery

Complicated defined for these codes? CPT 10060 includes a “simple” or “single” incision and drainage and 10061 includes a “complicated” incision and drainage or “multiple” incision and drainages. The AMA addressed that query of their CPT Assist publication in December of 2006. The AMA said that the CPT manual itself doesn't present definitions for simple and complicated and that the code chosen relies on the physician’s judgment in regards to the degree of issue involved in the incision and drainage procedure. This brings us to a different questions: how are simple. So as coders, blocked drains popeswood how will we pull out that element from an operative report since we aren't the physician making that judgment? So what makes 10060 and 10061 totally different from each other? If we glance at the examples in parentheses within the descriptions for these codes in the CPT guide, we will see that an incision and drainage of a carbuncle, hidradenitis, a cyst, a furuncle, paronychia, and cutaneous and subcutaneous abscesses might be reported with these codes.

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