Forum - Questions & Answers

Jan 4th, 2011 - lockmand 3 

please help CPT® 10061

the provider performed an incision and drainage -CPT® 10061 on the right cheek of his patient. the patient came back 5 days later due to the abcess on the right cheek is now worse...so the provider repeats the incision and drainage- in addition to that, he billed an office visit with modifier 25- the entire claim was denied due to it was billed with in the global period. Could have we billed procedure code 10061 with modifier 76?

Thanks.

Jan 4th, 2011 - lhudson 47 

10061

You should not bill a E&M but just the procedure code 10061 with modifier 78 to show it was done during PO of original surg and was related-Hope this is helpful.

Jan 4th, 2011 - lockmand 3 

thank you.

Thank you so much for your help... I appreciate it!!!! I forgot to mention that this was done in the providers clinic - does that matter?



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