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

  1. #1

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

    AAPC: Back to School
    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. #2


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

    Kimberly CPC

  3. #3
    Join Date
    Apr 2007
    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. #4


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


  5. #5

    Default Thanks

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

  6. #6


    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!

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