Results 1 to 2 of 2

Revision of port or hematoma

  1. #1
    Default Revision of port or hematoma
    Medical Coding Books
    Stuck on this one. Patient had a port of cath, then came back thought was a revision of port a cath but turned out to be an evacuation of hematoma . Nowdoc did was flushed with saline. Do I still code it as a revision of port a cath(36576) o or just code evacuation of hematoma (10140) -any suggestions if neither or -thanks

    PREOPERATIVE DIAGNOSIS: Breast carcinoma and Port-A-Cath hematoma.
    POSTOPERATIVE DIAGNOSIS: Breast carcinoma and Port-A-Cath hematoma.
    OPERATION: Evacuation of hematoma.
    After appropriate informed consent was signed, the patient was taken to the operating room, was transferred to the operating room, and underwent general anesthesia with successful endotracheal intubation. The left chest was prepped and draped in the normal fashion. Time-out had been performed to identify correct patient and correct procedure. Incision was made over the previous port incision. Dissection was carried down through the skin and subcutaneous tissue. I felt the port. The patient was morbidly obese and I excised some chest wall fat. This created a hematoma in the area. This was a solid hematoma. With warm irrigation around a liter-and-a-half, this was evacuated as best as we could. There was noted to be excellent hemostasis. The port could be reached without problems. The skin was then closed with 3-0 nylon and the port was accessed easily and flushed with heparinized saline. A sterile dressing was placed. The patient tolerated the procedure well and was transferred to the recovery room in stable condition

  2. #2
    Smile Trauma/GS Coder
    I would bill 10140 only.

Similar Threads

  1. Help with peritoneal port and chest port
    By chembree in forum Interventional Radiology
    Replies: 3
    Last Post: 10-06-2011, 02:44 AM
  2. Port-a-cath, port removal
    By Alisa Dinneen in forum General Surgery
    Replies: 8
    Last Post: 05-25-2011, 02:36 PM
  3. Revision of Infusa Port pocket
    By dpumford in forum Cardiovascular Thoracic
    Replies: 1
    Last Post: 01-22-2010, 03:42 PM
  4. Exploration and hematoma evac of Infusa port
    By dpumford in forum Cardiovascular Thoracic
    Replies: 0
    Last Post: 01-08-2010, 09:21 AM
  5. Scar revision after port removal
    By trwilson in forum Interventional Radiology
    Replies: 0
    Last Post: 10-17-2008, 11:32 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.