ASC Coding Guidance: CPT 10060 vs. CPT 10061
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CPT 10060 (incision and drainage of abscess – simple or single) or CPT 10061 (incision and drainage of abscess – complicated or multiple): How do you determine which to use?
If the surgeon leaves the incision of a simple or single abscess removal open to drain on its own, CPT 10060 should be used.
If there is need to place a drain or pack to allow for continuous drainage it may be appropriate to use CPT 10061. Make sure the operative note reflects documentation for the procedure code.
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The information provided should be utilized for educational purposes only. Please consult with your billing and coding expert. Facilities are ultimately responsible for verifying the reporting policies of individual commercial and MAC/FI carriers prior to claim submissions.
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