AAPC - Back to school
Results 1 to 3 of 3

Thread: Help Abdominal Washout

  1. #1
    Join Date
    Apr 2007
    Biloxi, MS

    Question Help Abdominal Washout

    AAPC: Back to School
    For some reason my brain is not working correctly today please help. One of my General Surgeons did following:
    Pt was taken to op room, abdomen was prepped and draped in usual manner. The previous drain was removed. The tract was explored down to midline incision. A seroma Cavity was noted. This was anterior to the mesh. The mesh had healed nicely. It was not visible. This is subcutaneous fat area Seroma. Pt is morbidly obese. The cavity was entered and washed with betadine and saline. There was no other purulence encountered... wound was packed with Iodoform adn the skin was approximated w/staples.
    Am I missing something? I cant find any irrigating or washing in regards to the abdomen. Any help would be appreciated.
    Last edited by CRC CPC; 06-23-2011 at 10:02 AM.

  2. #2
    Join Date
    Apr 2007
    Biloxi, MS


    What about 49080? Please give me some feed back....

  3. #3
    Join Date
    Apr 2007

    Default abdominal washout

    I don't know if we have the same situation, but I will tell you how we code for reopening of an abdominal wound with wash out. If a patient had a surgery that required the abdomen be left open and a vac pac or temporary closure was used, we code 49002 for the reopening and washout. We have many patients, who unfortunately have to have their abdominal wounds left open following a major surgery and may have to have the vac pac removed in several planned returns to the OR for the washout and re-application of the vac pac. We have asked about using this code in several coding seminars and coding lectures and so far no one has told us to code this situation any differently. We us the modifier 58 to indicate these reopenings and wash outs were planned procedures. The codes you asked about are really more percutaneous, where a needle is used to insert fluids and then withdraw the fluids to wash out the abdominal area. Hope this helps in some way.

Similar Threads

  1. Abdominal washout & wound VAC removal w/fascial closure
    By bill2doc in forum General Surgery
    Replies: 5
    Last Post: 06-06-2015, 01:59 PM
  2. Replies: 0
    Last Post: 06-02-2015, 03:09 PM
  3. Abdominal washout code
    By knperry in forum General Surgery
    Replies: 2
    Last Post: 12-20-2012, 11:12 AM
  4. Abdominal washout
    By CRC CPC in forum General Surgery
    Replies: 2
    Last Post: 02-23-2010, 03:03 PM

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.