Peritoneal abscess 1 ICD-9-CM 567.22 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however,... 2 You are viewing the 2013 version of ICD-9-CM 567.22. 3 More recent version (s) of ICD-9-CM 567.22: 2014 2015. More ...
Short description: Cellulitis/abscess mouth. ICD-9-CM 528.3 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 528.3 should only be used for claims with a date of service on or before September 30, 2015. For claims with a date of service on or after October 1, 2015,...
Periapical abscess without sinus. K04.7 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM K04.7 became effective on October 1, 2018. This is the American ICD-10-CM version of K04.7 - other international versions of ICD-10 K04.7 may differ.
The 2020 edition of ICD-10-CM K04.7 became effective on October 1, 2019. This is the American ICD-10-CM version of K04.7 - other international versions of ICD-10 K04.7 may differ. Applicable To. Dental abscess without sinus. Dentoalveolar abscess without sinus.
After reviewing the note, I agree with the provider's code of 42650. I would also consider adding 40800 for the I&D of the abscess in the buccal mucosal tissues (the mucosa lining the cheek) which is considered part of the vestibule of the mouth. 42650 includes dilating a salivary duct only but doesn't include an incision or a drainage procedure.
ICD10: K11.20 Sialoadenitis#N#Procedure note:#N#"Procedure (Incision and drainage of intraoral abscess) completed in clinic. After discussion of risks, benefits and alternatives for the procedure, benzocaine 20% was sprayed into the oropharynx. The right buccal mucosa was injected with 1% Lidocaine with 1:100,000 epinephrine. A dilator was used to identify and enter Stenson's duct. A 15 blade was then used to incise the buccal mucosa until the abscess cavity was entered. About 1ml of purulent drainage but no stone was seen. The site was irrigated with 1:1 sterile saline and hydrogen peroxide followed by sterile saline. The patient was asked to rinse and gargle copiously with cold water until minimal bleeding was noted. The patient tolerated the procedure well."#N#I believe the cpt should be 42300 but my provider thinks it should be 42650. What do you think?