HELP !!!! THR with draining seroma

madgejones10

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1-15-19: Pt. underwent right total hip replacement.
2-21-19: Taken back to OR with "draining seroma." Dr. exchanged right total hip femoral ball and polyethylene liner and performed extensive lavage of wound with insertion of antibiotic beads.

Do I bill 27030 or 26990 ? Would DX be M96.840, Z96.641 ??


I've spent all day on this and have even entertained 27134 - 78, 52

Can anyone help? I feel ridiculously stupid !!!!!

THANKS!!!!!
 
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HELP !!!! THR with draining seroma

Hello madgejones10,

If you still are stuck on this I don't mind helping! If you could post the op report I would be able to give more accurate code(s) but will give it a try with what you have documented/described. I have CPT 27138-78-RT for the right total hip femoral ball and polyethylene liner revision. Any lavage as you have described would be included in CPT 27138 and if the antibiotic beads are biodegradable you cannot bill CPT 11981 as it is also included in the primary procedure 27138.

Hope this helps!


M. Hannus, CPC, CPMA, CRC
 
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