HEMORRHAGE/HEMATOMA/SEROMA

Code 998.1, Hemorrhage or hematoma complicating a procedure, has been expanded to allow for separate identification of these conditions as well as seroma complicating a procedure. Prior to October 1, 1996, seroma, a tumor-like collection of serum in the tissues, was indexed to hematoma. A seroma is generally associated with post-operative episodes. Seromas may also become infected. Revised code 998.1 Hemorrhage or hematoma or seroma complicating a procedure Hemorrhage of any site resulting from a procedure Excludes: hemorrhage, hematoma or seroma: complicating cesarean section or puerperal perineal wound (674.3) New code 998.11 Hemorrhage complicating a...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers a coding update that separated postoperative hemorrhage, hematoma, and seroma into distinct diagnoses, along with guidance on an infected postoperative seroma scenario. It is relevant to coders and billing professionals working with procedure-related complications, postoperative wound issues, and infection-related reporting.

Why This Topic Matters

Procedure-related complications can be coded differently depending on the specific condition and whether infection is present. Understanding the article helps support accurate diagnosis reporting for postoperative follow-up and complication coding.

Article Sections

  1. Revision of code 998.1 and related exclusions

    This section describes the expansion of a complication code into separate categories and notes an exclusion related to a maternal surgical context.

  2. New codes for hemorrhage, hematoma, seroma, and infected postoperative seroma

    This section lists the updated diagnosis codes associated with procedure-related bleeding, fluid collection, and postoperative infection.

  3. Question and answer on infected seroma of TRAM flap

    This section presents a coding question about a postoperative seroma scenario and addresses whether additional reporting is needed when infection is present.

What You Will Learn

  • How a postoperative complication code was revised to separate related conditions
  • What general categories of postoperative complications are addressed in the update
  • How the article frames an infected postoperative seroma reporting scenario
  • What kind of additional information may be needed when infection is known

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Compliance professionals
  • Revenue cycle teams

Codes Discussed

  • ICD-9-CM: 998.1
  • ICD-9-CM: 998.11
  • ICD-9-CM: 998.12
  • ICD-9-CM: 998.13
  • ICD-9-CM: 998.51
  • ICD-9-CM: 674.3

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