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Wiki Removal of Retained Hemovac Drain

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adunlap23

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Patient is s/p laminectomy. Hemovac drains were planned for removal three days post-op; however, the subfascial drain could not be removed at bedside. The patient was therefore taken back to the OR for the following procedure:

Reexploration of lumbosacral wound with removal of retained subfascial Hemovac drain.

I know this would normally be considered part of the post-op perioed, but since the patient returned to the OR, I was unsure whether this is separately billable and, if so, how others would code/report it.
 
This could be coded as I&D of postop wound (10180 vs 10140) or foreign body (10121) with an unplanned return to OR modifier during the global (+78).
I would think that any foreign body deep in a spinal wound constitutes "complex" and also think that you don't want an infection code if there's not an infection, so I would think that 10121+78 is the best choice here.
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