Overview of CPT Code 10060: Incision and Drainage of Cutaneous Abscess

CPT Code 10060 refers to the surgical procedure for incision and drainage of a cutaneous abscess, which is a localized collection of pus within the skin. This procedure is performed to relieve pain, remove infected material, and promote healing.

When CPT Code 10060 is Used?

This procedure is indicated in various clinical scenarios.

Presence of a painful, swollen area on the skin suggesting an abscess.
Fever or systemic signs of infection accompanying a skin lesion.
Abscess that has not responded to conservative treatment such as antibiotics.
Abscess located in areas where drainage is necessary for healing.

Symptoms Indicating This Procedure

Patients may report several symptoms that indicate the need for this procedure.

Localized pain and tenderness in the affected area.
Swelling and redness around the abscess.
Pus or fluid drainage from the abscess.
Fever or chills indicating systemic infection.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention.

Bacterial infections, commonly Staphylococcus aureus.
Skin injuries or breaks that allow bacteria to enter.
Conditions that compromise the immune system, such as diabetes.
Poor hygiene or skin care practices.

Diagnostic Tests Before Procedure

Certain tests may be conducted to confirm the diagnosis.

Physical examination of the abscess.
Ultrasound to assess the size and depth of the abscess.
Culture of the pus to identify the causative organism.

Procedure Description

The procedure involves several key steps.

The patient is positioned comfortably and the area is cleaned.
Local anesthesia is administered to numb the area.
A small incision is made over the abscess to allow drainage.
The abscess cavity is explored and any pus is drained.
The cavity may be packed with gauze to facilitate further drainage.

Preparation for the Procedure

Patients should follow specific guidelines before the procedure.

Avoid eating or drinking for several hours prior if sedation is planned.
Inform the doctor about any medications or allergies.
Arrive at the facility with clean skin in the area of the abscess.

Recovery and Aftercare

Post-procedure care is crucial for healing.

Expect some pain and swelling; over-the-counter pain relievers may be used.
Keep the area clean and dry; follow specific wound care instructions.
Monitor for signs of infection such as increased redness or fever.

Possible Complications

While generally safe, there are potential risks.

Infection at the incision site.
Persistent or recurrent abscess formation.
Scarring or changes in skin pigmentation.

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Post-Procedure Follow-Up

Follow-up is important to ensure proper healing.

Schedule a follow-up appointment within a week to assess healing.
Contact the healthcare provider if symptoms worsen or do not improve.

Alternative Treatments

In some cases, non-surgical options may be considered.

Antibiotic therapy for mild infections without abscess formation.
Warm compresses to promote drainage in early stages.

Home Care Tips

Patients can take steps at home to aid recovery.

Keep the incision clean and dry.
Change dressings as instructed by the healthcare provider.
Avoid picking at the wound to prevent infection.

Patient Education & Prevention

Education is key to preventing future abscesses.

Practice good hygiene, especially after injuries.
Manage underlying conditions like diabetes effectively.
Seek prompt medical attention for skin infections.

Billing and Coding Information

CPT Code: 10060

Category: Surgical Procedures

Common Modifiers:

25 - Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure.
59 - Distinct procedural service.