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

Complicated outlined for these codes? CPT 10060 features a “simple” or “single” incision and drainage and 10061 features 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 provide definitions for easy and complicated and that the code chosen is predicated on the physician’s judgment in regards to the degree of problem concerned in the incision and drainage process. This brings us to another questions: how are easy. So as coders, how will we pull out that detail from an operative report since we are not the physician making that judgment? So what makes 10060 and 10061 completely different from one another? If we look on the examples in parentheses within the descriptions for these codes in the CPT guide, we are able to see that an incision and drainage of a carbuncle, hidradenitis, a cyst, a furuncle, paronychia, and cutaneous and subcutaneous abscesses could be reported with these codes.

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