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Thread: Exploration of wound after C-Section

  1. #1

    Default Exploration of wound after C-Section

    AAPC: Back to School
    I am helping out a co-worker and new to coding OB-GYN. Patient had a C-section on 10/21/11 developed a subfascial hematoma and the physician did a exploration of the wound and evacuation of the hematoma. Would I use 49000?

    We removed the subcuticular suture to open the wound and noted that there was some blood and clot in the subq fat however, the majority of the hematoma was some fascial. We prior to open the incision on the patient's right side measuring about 3 cm at the juncture then vigorously suctioned and irrigated to out about 500 cc of clot thus rendering a total blood loss of about 1000 cc preoperatively.

    Then he closed the patient up.

    Any help would be helpful!
    Thanks, Connie

  2. #2
    Join Date
    Apr 2007
    Tacoma, WA


    Quote Originally Posted by payalbhatt View Post
    Actually the only code allowed is the 49002 as this is a reopening and exploration of a recent laparotomy.

    The provider did not make a new incision or exploration other than the surgical incision area so 49000 does not apply.
    Arlene J. Smith, CPC, CEMC, COBGC
    AAPC Tacoma WA Chapter

    President 2015
    Past-President 2013 and 2011
    President-Elect 2010
    Member Relations 2008
    AAPC NAB 2007-2009

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