ICD-10: | Z97.8 |
---|---|
Short Description: | Presence of other specified devices |
Long Description: | Presence of other specified devices |
Code | Description |
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10060 | INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS OR SUBCUTANEOUS ABSCESS, CYST, FURUNCLE, OR PARONYCHIA); SIMPLE OR SINGLE |
R0070: Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen.
Myrtle Brooks, Orlando, FL#N#A. If you are referring to R HCPCS codes, R-codes would probably not apply to POS 20. By definition they occur outside of an urgent care clinic. In addition, these are services that are almost never rendered by an urgent care center. R HCPCS codes are:
Additional I&D: If, no recheck, the abscess requires additional incision and drainage, then you could again code 10060 and use modifier -76 (repeat procedure or service by same physician) for the claim with the repeat I&D. Make sure that the physician documents that the abscess requires more drainage. Some payors restricted use of modifier -76 to a repeat procedure performed on the same day as the original procedure. However, this was clarified in the AMA’s CPT Changes 2008: An Insider’s View: “Use of modifier 76 is not restricted to procedures performed on the same day. The repeated service could be surgical or diagnostic, but cannot be an evaluation and management (E&M) service.” Not that “both services – the original and the repeat – must be described by the exact same CPT code.” (CPT Changes 2011: An Insider’s View)
So if the abcess is still an acute problem requiring continued acute treatment then use the abcess, if the abcess is documented as healing, then use the V58.3x code, however do not use both.
So if the abcess is still an acute problem requiring continued acute treatment then use the abcess, if the abcess is documented as healing, then use the V58.3x code, however do not use both. F.
V58.3x has always been allowable as a first listed dx code. Here is what the guidelines have to say regarding the use of an aftercare code:#N#Aftercare visit codes cover situations when the initial treatment of a disease or injury has been performed and the patient requires continued care during the healing or recovery phase, or for the long-term consequences of the disease. The aftercare V code should not be used if treatment is directed at a current, acute disease or injury. The diagnosis code is to be used in these cases.#N#So if the abcess is still an acute problem requiring continued acute treatment then use the abcess, if the abcess is documented as healing, then use the V58.3x code, however do not use both.
Aftercare visit codes cover situations when the initial treatment of a disease or injury has been performed and the patient requires continued care during the healing or recovery phase, or for the long-term consequences of the disease. The aftercare V code should not be used if treatment is directed at a current, acute disease or injury. The diagnosis code is to be used in these cases.