Wound care coding question! I’ve been working on educating the physicians I work with on ICD10 since it became effective. There has been a constant ongoing debate between the three of them as to what diagnosis to use in a particular situation involving abcesses. When an abscess is incised and drained, and they are referred to us for treatment because the wound will not heal, one physician wants to now call the abscess a nonhealing operative wound because they state they’ve had surgery, while the other two say it’s still an abscess.I have posted the question in social media coder groups. When it was suggested that we go with the diagnosis on the referral, I have suggested that to the doctors and, unfortunately, the referrals basically state "wound care", "wound left foot" or "wound abdomen" – they dont’ specify what type of wound. I need help to settle this matter once and for all. Any documentation that I can provide them is greatly appreciated, as I have researched and cannot find anything definitive.
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