Nursing staff called and verified procedure information as instructed by the provider, so they could have an ABN completed and signed prior to the procedure. Now that I have reviewed the procedure documentation, instead of an I&D, the procedure started as an I&D, then became more involved and ended up being an excision with layer closure.

My question is, can the ABN listing an I&D still be used or should we have completed another one when it was determined this would be a more extensive procedure.