Overview
SOMB code 98.03A is paid for the incision and drainage of a subcutaneous or submucous abscess or hematoma performed in the office. Document location, technique, and findings.
Billing Requirements
- Incision and drainage procedure performed on a subcutaneous or submucous abscess or hematoma
- Procedure details documented
Common Audit Traps
⚠️ Alberta Health auditors specifically look for these mistakes when reviewing 98.03A claims:
- Billing 98.03A for simple needle aspiration without incision
- Failing to document location and method
Clinical Example
In-office I&D of a subcutaneous abscess on the forearm under local anaesthetic. Document location, anaesthetic, findings. Bill 98.03A.
Documentation Tips (Audit-Proof)
- Document anatomical location and size of the lesion
- Record anaesthesia used and drainage findings
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