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CPT & diagnosis code for blister I&D

Kristene Posted Tue 06th of May, 2014 15:59:50 PM

Does anyone know the correct CPT and diagnosis code for a blister I&D? We used CPT code 10140 with diagnosis code 917.2 and it was denied.

SuperCoder Answered Tue 06th of May, 2014 17:09:00 PM

Where was the procedure performed? ED or somewhere else.

Kristene Posted Tue 06th of May, 2014 17:58:08 PM

It was performed in the doctor's office.

SuperCoder Answered Wed 07th of May, 2014 06:14:22 AM

You are likely to get denied on your claims for I&D services if the internist performs the procedure for drainage of a blister, particularly if the blister is small, uninfected, superficial and uncomplicated, according to healthcare reimbursement site AccuChecker.

Your physician's notes will need to support the complexity of the procedure. If blisters, cyst (including sebaceous cyst), cellulitis or other fluid collections and infections do not have documented presence of discrete abscess or pus collection, forget about reporting 10060-10061 also

Your likely option is to report it with E/M code if performed in office.

Note: When you code these procedures in conjunction with an initial hospital visit or a subsequent visit, for example, make sure you append modifier 25 to the E/M to point out that you are seeing the patient for multiple ongoing conditions.

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