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I&D for Cutaneous Abscess
I am new to Dermatology coding and need help with this procedure note: An I&D was performed on the left hand for a cutaneous abscess. Consent was obtained and risks were reviewed including but not limited to delayed wound healing, infection, need for multiple I and D's, and pain. The area was prepped in the usual clean fashion. Local anesthesia was achieved with 2 cc of 1% carbocaine. The abscess was incised with a 15 blade, and pressure was applied to the wound to drain the underlying contents. Aquaphor and a dry sterile dressing were applied and wound care was reviewed. Can you tell me what CPT code I should use?
Hernia Repair and Small Bowel Resection
A patient with open repair of an incarcerated hernia is noted to have necrotic bowel within the incarcerated hernia. This area of non-viable small bowel is resected and anastomosis is performed. Is this separately billable?
DRIL Procedure
The surgeon said he did a DRIL procedure on an AC fistula. I’m not sure how to code this. Is it an unlisted code?
Sacroiliac Joint Injections (SI Joint)
We are receiving denials from NGS Medicare for CPT code 20552 when we do SI joint injections using ultrasound guidance. Our typical diagnosis is sacroiliac dysfunction.
Does KZA have an insight into what may be causing the denial?
63266 & 63267 - Reported Together?
If the provider removed an epidural abscess from T4-T9 via one incision and then did a separate incision at L4-5, can I bill CPT 63266 and 63267?
27134 vs. 27137
What is the correct way to bill for a hip arthroplasty revision where the full acetabular component is replaced, and a new femoral head is placed, but nothing is done to the femoral stem?
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