Forum - Questions & Answers
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.
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.
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?