AHA Coding Clinic® for ICD-9 - 2011 Issue 1; Ask the Editor

Postoperative Hemorrhage and Postoperative Hematoma

We are concerned about the inconsistency in hospital coding of postoperative hemorrhage and postoperative hematoma because the coding of these conditions affect data quality. For example, when a surgical wound is slightly oozing blood and is treated with pressure, it is being coded as a postoperative hemorrhage. By the same token, if a small hematoma is noted after surgery, but not treated, it is still being coded as postoperative hematoma. Could you provide us with guidance so that we can consistently code these conditions? ...

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