Results 1 to 4 of 4

Seroma post op CABG

  1. #1
    Green Bay, WI
    Default Seroma post op CABG
    Medical Coding Books
    Hello all~ I have a patient who has a seroma at the site where the venous graft was taken for their CABG. I'm in the post op global. For evacuation of the seroma, would this be considered related (modifier78) or unrelated (modifier79) to the CABG? I can read this both ways, so I would like to get an opinion from someone who has has this happen before. Thank you

  2. Default
    You didn't say where this 2nd procedure was done. But, I would use the -78 as the seroma was a result of the surgical procedure

    -78 Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period: It may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). When this procedure is related to the first and requires the use of the operating or procedure room, it may be reported by adding modifier 78 to the related procedure.

  3. #3
    Green Bay, WI
    My apologies- the seroma was at the lower extremity saphenectomy site. I'm thinking I should go with the 78 as well.

    Thank you!

  4. Default
    Yes, I was responding as the seroma was at the saphenectomy site. I guess I just kind of assumed that site from your question. I just didn't know from your question if this 2nd procedure was during the same admission or later in the office with a re-admit.

    But either way, I agree that the -78 is your best modifier

Similar Threads

  1. Post-op seroma drainages
    By GAcoder74 in forum Hematology/Oncology
    Replies: 0
    Last Post: 12-08-2015, 08:16 AM
  2. status post CABG
    By sparkles1077 in forum Diagnosis Coding
    Replies: 2
    Last Post: 02-09-2014, 11:45 AM
  3. Post Operative Seroma Drain Placement
    By Pfukada in forum General Surgery
    Replies: 0
    Last Post: 06-14-2012, 02:10 PM
  4. aspiration seroma during radical mastectomy post op period
    By in forum General Surgery
    Replies: 0
    Last Post: 01-29-2010, 07:00 AM
  5. post mastectomy seroma
    By in forum General Surgery
    Replies: 1
    Last Post: 01-29-2010, 04:32 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.