I&D of Spinal Abscess

Question:

We are seeing cases where, after an initial I&D for a spinal abscess (coded 22010–22015), patients require additional trips to the OR to clear residual infection and promote healing. For these subsequent surgeries, could you clarify whether it is appropriate to reuse 22010–22015 for repeat I&Ds?

Answer:

Great question. Code selection depends on documentation. Codes 22010–22015 are specific to deep (subfascial) posterior spine abscesses, as defined by the code descriptor.

If the documentation supports an open incision and drainage of a deep (subfascial) posterior spine abscess, it would be appropriate to report it, regardless of the timing of surgery.

It should be noted that there are parenthetical instructions that should be reviewed, as they provide additional information and guidance.

*This response is based on the best information available as of 08/13/26.