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10061

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bliss:
Can anyone explain if 10060, or 10061, And if these codes can have units billed, and what exactly is would you consider the definition of a unit is?

Michele:
Your question is not real clear.  Are you asking if 10060 or 10061 can be billed using units?  By definition 10061 is "complicated or multiple".

Michele

blhoffman:
Hi bliss,

I found this information while researching your question.  ;D

The definitions are "simple or single" and "complex or multiple." Two abscesses would indicate "multiple."

Bill 10060 if there is one abscess that is simple.
Bill 10061 if there is more than one abscess, or there is one abscess that is complicated.

I believe that in either case, you would use one unit. The work value for the 10061 reflects the more complicated work for one abscess, and/or the more involved work for multiple abscesses.

oneround:
Correct, The MD makes a small incision through the skin overlying an abcess for I&D, the lesion may be curretted and irrigated.  10061 would be coded for complicated or multiple cysts, complicated cysts may require later surgical clousure.  10060 is for I&D of a simple or single abcess. Because 10061 states multiple, you could treat up tp 10 lesions but bill it only as 10061 X 1 In either case 1 unit would be applicable.

bliss:
Thank you all for replying.  Scenario:  Just to clarify more, we have patients that come on a weekly,
or Bi-weekly basis.  They all have one or more of these: Acne, Acne Vulgaris, cystic acne, folliculitis. 
Pustules abcesses, or cystic, They all require I&D of some sort.  Not sure if classified as complicated.  A lancet used only, There are multiple lesions.  What would we bill?  I was told at one point that the 10061 can be billed with several units, X1, X2 .....all the way up to X18 if there are 18 lesions, or depending on how many lesions are lancet, so that  is what we have been doing for a long while.  I am very concerned, because our company had been billing 10040, 10061X how many units, or lesions,
& 99213, and I am now wondering if that was wrong.  We have been getting paid from insurance company with these billings.  Please give me some insight.

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