What is Simple?

What is Simple?

January 17, 2019

Question:
The incision and drainage codes 10060-10061 and 10080-10081 have one code for simple and one for complicated.  Does CPT define what is simple and complicated?

Answer:
No, CPT does not define them.  The AMA states that it is up to the physician’s discretion based upon the complexity of the incision and drainage procedure.  KZA recommends that physicians use the words simple or complicated in the operative note to indicate their perspective of the work involved in the procedure.

*This response is based on the best information available as of 1/17/19.

Sign up for KZAlertsSign up for KZAlerts

Coding Coaches