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Ask a Rev Cycle Expert: Incision & Drainage (I&D) With No Drainage?

Question:

During an emergency department (ED) encounter, our doctor documents an I&D of an abcess, but was unable to express any material out of the incision. Would we be able to report code 10060?

Answer:

Generally, an unsuccessful or failed procedure may be separately reported. An unsuccessful or failed procedure is one that is attempted, but the expected result is not achieved. Because there is an incision and an attempt to aspirate material as part of the “drainage”, Current Procedural Terminology (CPT®) code 10060 Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single may be reported.

Disclaimer: This information was current at the time of its publishing and is designed to provide accurate information in regard to the subject matter covered. Vitalware does not accept any responsibility or liability with regard to any errors, omissions, misuses, or misinterpretation by the reader. It is not intended to take the place of either the written policies or regulations. We encourage you to review the specific regulations and other interpretive materials as necessary. All CPT® codes are trademarked by the American Medical Association (AMA) and all revenue codes are copyrighted by the American Hospital Association (AHA).