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  1. #1
    Default Seroma
    Medical Coding Books
    A patient was seen after having a repair of a left inguinal hernia on 02/15/10 he comes back for a post-op visit on 02/25/10 and is found to have a seroma. The doctor under sterile technique aspirated the seroma from the left groin incision. About 40 cc of thin bloddy fluid was aspirated. The doctor wants to bill a 10060 which I think is wrong & that he needs to bill cpt code 10160 even though the cpt code description states puncture aspiration of abscess, hematoma, bulla ro cyst. Is this correct? Thanks

  2. #2
    Milwaukee WI
    Default 10160
    From what you write, I believe CPT 10160 would be correct. Dx 998.1

    Don't forget your modifier.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Drainage of seromas are not payable during the post op period (assuming the seroma is directly related to the surgical procedure itself). These are considered a normal complication of surgery, and therefore are not separately payable unless it requires a trip back to the OR in order to do it. Don't forget a 58 or 78 modifier in that case.

  4. Default
    Gared is quite correct. Seroma formation after inguinal hernia repair is somewhat common and is related to the repair. All hernias, inguinal included, have a 90 day global so you cannot charge for the aspiration as you described it. Had it occured outside the global surgery period you certainly could charge for it . It's not fair, but that's the way it is. We see postop mastectomy's often for seroma aspiration and we cannot charge either.

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