CPT® Code 10180

Incision and drainage (I&D) is a surgical procedure that is commonly performed to address infections that occur in postoperative wounds. When a wound becomes infected after surgery, it is essential to drain any accumulated pus or fluid to promote healing and prevent further complications. The procedure begins with the physician preparing the affected area, which may involve the removal of sutures or staples that were used to close the original surgical incision. In some cases, additional incisions may be made to ensure adequate drainage of the infected area. During the procedure, any necrotic tissue, which is tissue that has died due to infection or lack of blood supply, is carefully excised to facilitate healing. After the wound has been adequately drained, it is typically irrigated with saline solution to cleanse the area and remove any remaining debris. Depending on the specific circumstances of the wound, the physician may choose to resuture the wound or pack it with gauze to allow for continued drainage. In instances where the wound is closed, suction or latex drains may be utilized to help manage any excess fluid. If the decision is made to leave the wound open, it may require further intervention at a later date for closure. This procedure is classified as complex due to the intricacies involved in managing postoperative infections and ensuring proper wound care.