How To Use CPT Code 26010

CPT 26010 describes the procedure for draining an abscess of the finger. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 26010?

CPT 26010 is used to describe the drainage procedure for an abscess of the finger. This code is used when a healthcare provider removes the pus and fluid from an abscess in the superficial subcutaneous tissue of the finger using a needle. The provider also cleans the area and packs the wound with gauze to promote healing.

2. Official Description

The official description of CPT code 26010 is: ‘Drainage of finger abscess; simple.’

3. Procedure

1. The healthcare provider washes the finger to remove any dirt, blood, or debris.
2. The provider locates the abscess in the superficial subcutaneous tissue of the finger.
3. Using a needle, the provider drains the abscess by removing the pus and fluid.
4. The provider packs the wound with gauze to promote healing.

4. Qualifying circumstances

CPT 26010 is performed when a patient has an abscess in the finger that requires drainage. The procedure is typically done for superficial subcutaneous abscesses. The patient must be under the care of a healthcare provider who is qualified to perform the procedure.

5. When to use CPT code 26010

CPT code 26010 should be used when a healthcare provider performs a simple drainage procedure for an abscess of the finger. This code is appropriate for cases where the abscess is located in the superficial subcutaneous tissue of the finger and requires drainage.

6. Documentation requirements

To support a claim for CPT 26010, the healthcare provider must document the following information:

• Patient’s diagnosis and the need for abscess drainage
• Date of the procedure
• Details of the procedure, including the use of a needle to drain the abscess and packing the wound with gauze
• Any complications or additional procedures performed
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 26010, ensure that the procedure performed meets the criteria for abscess drainage of the finger. Use the appropriate CPT code based on the complexity of the procedure and the location of the abscess. It is important to follow the specific guidelines provided by the payer to ensure accurate billing and reimbursement.

8. Historical information

CPT 26010 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Examples

1. A healthcare provider draining an abscess in the finger of a patient.
2. A surgeon performing a simple drainage procedure for an abscess in the finger.
3. A nurse assisting a healthcare provider in draining an abscess of the finger.
4. A physician using a needle to remove pus and fluid from an abscess in the finger.
5. A healthcare provider packing the wound with gauze after draining an abscess in the finger.
6. A patient undergoing a simple drainage procedure for an abscess in the finger.
7. A healthcare provider documenting the details of a drainage procedure for an abscess in the finger.
8. A surgeon performing a follow-up procedure after draining an abscess in the finger.
9. A nurse providing post-procedure care for a patient who had an abscess drained from the finger.
10. A healthcare provider explaining the drainage procedure to a patient with an abscess in the finger.