An abscess in the neck. A neck abscess is a collection of pus in the neck. Typically, an abscess is caused by an infection, and as the pus accumulates, the abscess will grow larger and form a mass.
Z87.2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM Z87.2 became effective on October 1, 2020. This is the American ICD-10-CM version of Z87.2 - other international versions of ICD-10 Z87.2 may differ.
L02. 91 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM L02.
What is a neck abscess? A neck abscess is a collection of pus from an infection in spaces between the structures of the neck. As the amount of pus increases, the soft tissue spaces expand and push against the structures in the neck, such as the throat, tongue, and, in extreme cases, the trachea (windpipe).
10061 Incision and drainage of abscess; complicated or multiple.
M60. 08 is the appropriate code for abscess muscle.
Submandibular space infection is a rapidly spreading, bilateral, indurated cellulitis occurring in the suprahyoid soft tissues, the floor of the mouth, and both sublingual and submaxillary spaces without abscess formation. Although not a true abscess, it resembles one clinically and is treated similarly.
Superficial neck abscesses are usually the result of an infection in a lymph node in the neck (lymphadenitis) turning into an abscess. Please see LUMPS OR MASSES IN THE NECK for additional information. The most common cause of these abscesses are Staphylococcus or Streptococcus bacteria.
For incision and drainage of a complex wound infection, use CPT 10180. You can remove the sutures/ staples from the wound or make an additional incision to work through. The wound is drained and any necrotic tissue is excised. The wound can be packed open for continuous drainage or closed with a latex drain.
Procedure codes 10060 and 10061 represent incision and drainage of an abscess involving the skin, subcutaneous and/or accessory structures.
CPT code 10080 is used for a simple incision and drainage with local wound care to facilitate healing. And CPT code 10081 for a complicated incision and drainage which includes placement of a drain or packing with gauze. For percutaneous aspiration of abscess, hematoma, bulla or cyst, procedure code 10160 is used.
Paraspinal abscess is a collection of pus located around the spinal cord. This is usually seen as a complication of vertebral osteomyelitis and discitis (diskitis) but may be related to hematogenous seeding during bloodstream infection.
Summary. Spinal epidural abscess (SEA) is a severe pyogenic infection of the epidural space that leads to devastating neurological deficits and may be fatal. SEA is usually located in the thoracic and lumbar parts of the vertebral column and injures the spine by direct compression or local ischemia.
Spinal cord abscess is the swelling and irritation (inflammation) and the collection of infected material (pus) and germs in or around the spinal cord.
You also need to know the location because if the abscess is deep, code choice is based on the location of the abscess and is not dependent simply on single versus multiple, and simple versus complicated. Appearance and signs and symptoms can assist with determining simple versus complex.
An incision must be performed and documented to bill for this procedure. If the provider uses a needle to puncture the abscess, and lets it drain, it is not appropriate to use the incision and drainage codes. This procedure would be included in the evaluation and management of the patient for the day and not separately reported.