Incision and drainage of abscess, simple
Draining a small abscess or boil.
Based on typical US negotiated and cash-pay rates. Hospital charges can run significantly higher — often 2–10x these numbers. If your bill is well above this range, it's worth questioning.
- Billed as complex (10061) for a small, simple drainage.
- Multiple I&D codes for the same abscess.
Complex I&D requires multiple abscesses or unusually large/deep drainage.
Frequently asked questions
What does CPT code 10060 mean?
Draining a small abscess or boil. In billing terms it's categorized as "Incision and drainage of abscess, simple" under Procedures.
How much should CPT 10060 cost?
Typical negotiated and cash-pay rates run about $150–$500. Hospital list prices are often 2–10× higher, but insurers rarely pay those. If your bill is well above the top of this range, ask for an itemized bill and compare.
Is CPT 10060 covered by insurance?
Most commercial plans and Medicare cover incision and drainage of abscess, simple when it's medically necessary and coded correctly. Denials usually come from missing prior authorization, incorrect modifiers, or the payer disputing medical necessity — all of which can be appealed.
What should I do if CPT 10060 looks wrong on my bill?
Complex I&D requires multiple abscesses or unusually large/deep drainage.
Can I dispute a charge for CPT 10060?
Yes. You have the right to request an itemized bill, dispute the coding with the provider's billing office, and appeal the insurer's decision. Federal rules (including the No Surprises Act for emergency and out-of-network ancillary services) protect you from many surprise charges. BillCheck can generate the appeal or negotiation letter for you.
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BillCheck provides informational analysis only and is not legal, medical, or financial advice. Verify all details before submitting any correspondence to insurers or providers. Prices shown are typical ranges and vary by region, payer, and facility.