tci ED Coding & Reimbursement Alert - 2013 Issue 9

Reader Question: Consider All the Facts Before Close Your Repair Coding

Question: Our emergency physician sutured a bleeding post-operative seroma at the incision site, which was 4 cm by 4 cm. What is the correct code to report this skin closure? Ohio Subscriber Answer: The closure would typically be bundled into the procedure, and not separately reportable if performed by the same physician. CPT® code 10140 (Incision and drainage of hematoma, seroma or fluid collection) would be the best code to describe the service if your physician simply incised a post- operative seroma. If the procedure was done by another provider and the patient reports to the ED because the...

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