Results 1 to 5 of 5

evacuation of hematoma in pacemaker pocket

  1. Default evacuation of hematoma in pacemaker pocket
    Medical Coding Books
    Can anyone help with coding for an evacuation of a hematoma in a pacemaker pocket? The patient had a pacemaker implant 3 weeks ago, then was found to have a hematoma in the pocket. The pocket was opened up and the hematoma evacuated. Would this be included in the global of the pacemaker implant or is this billable and how would it be coded? Any input would be greatly appreciated. Thank!!


  2. #2
    Greeley, Colorado
    This should not be considered as part of the pacemaker insertion, rather a complication of that procedure. 10140 with modifier -78 seems appropriate to me.
    Lisa Bledsoe, CPC, CPMA

  3. Default Diagnosis Code
    What diagnosis code did you use for the ICD implant hematoma?


  4. Default
    We often use the revision of pocket 33222-33223, due to the fact that the generator has to be removed and then put back into a nice clean pocket, which often is more work then a I & D of a hematoma. You would need 78 modifer also.

    I have present this question before at a seminar and they did recommend these codes for this type of scenario.

  5. #5

Similar Threads

  1. hematoma of pacemaker pocket
    By ggparker14 in forum Diagnosis Coding
    Replies: 2
    Last Post: 04-04-2013, 01:50 PM
  2. Hematoma evacuation
    By jperkins in forum Cardiology
    Replies: 1
    Last Post: 03-01-2011, 06:03 AM
  3. Evacuation of hematoma
    By carol52 in forum General Surgery
    Replies: 1
    Last Post: 11-17-2010, 06:41 AM
  4. evacuation of mediastinal hematoma?
    By mad_one80 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 06-16-2009, 06:56 AM
  5. Evacuation of Hematoma
    By RainyDaze in forum General Surgery
    Replies: 2
    Last Post: 10-01-2008, 10:53 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.