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Need Help - Evac of Axillary Hematoma w/ Ligation of vessel

  1. Question Need Help - Evac of Axillary Hematoma w/ Ligation of vessel
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    Please help coding the following OP report:

    PreOp Dx: Rt. Axilarry hematoma w/ active bleeding
    PostOp Dx: Same

    Procedure: 1. Evacuatiojn of Rt. axillary hematome w/ ligation o bleeding vessel
    2. complex closure

    Pt is a 69 year old gentleman status post excision of rt axillary mass. He is on dialysis and each time he is dialyzed he develops bledding w/i axilla.

    Pt has active bleeding w/i the rt axilla. Clot was evacuated and at the base of the clot there was a patent vein which had been previously transected and the end protion was noted. This was suture ligated with 3-0 Monocryl in a figure of wight type suture. Wound was irrigated again and the axillary tisues were then reaproximated with 3-0 Monocryl in a runnign fashion in multiple layers.

    I know the code for the closure, but I just can find on for the evacuation or vein ligation.
    Sonja Little, CPC

  2. Default
    Look at 10140 and 10160 for the Hematoma and 37618 for vein ligation.

    Kimberly CPC

  3. #3
    Coeur d'Alene

    We have had this problem before. CPT 37618 says major artery. That is what always makes it hard for me to use.

  4. Default
    What about 35206 I know this coding think is not so easy sometime.


  5. Default Thanks
    Thanks everyone for your help and advice.
    Sonja Little, CPC

  6. Default
    What code did you ever end up using? I've got a similar case, post operative bleeding. Physician removed clots and suture ligated small blood vessels. I have no idea what to do!

  7. Default
    axilla and evacuation of hematoma code...?

  8. Question
    10140 (or) 10160

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