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Removal of retained drain

  1. #1
    Default Removal of retained drain
    Medical Coding Books
    What CPT code would be used for removal of retained drain after any type of abdominal/retroperitoneal surgery?

    Thanks in advance for any help.

    Chris Lufkin, CPC

  2. #2
    Location
    Kansas City, MO
    Posts
    37
    Default
    You might look at 49002, reopening of recent laparotomy, with a 78 modifier if the patient is still in a global period. Dx would probably be 998.4 foreign body accidentally left during a procedure
    Karen Cross, CPC, CPMA, CEMC, CUC

  3. #3
    Location
    Boise, Idaho
    Posts
    424
    Default
    Where was it removed? In the office? It is usually part of the global unless removed in the OR or use an e/m outside the global period. This was a tube placed for drainage right?

  4. #4
    Location
    Salt Lake City
    Posts
    841
    Default
    If the physician is simply pulling the tube out there is no code for this.
    Jenifer McPolin CPC, CPMA, RCC

  5. #5
    Default
    This was done in the OR abd during the post op period. Thanks for all your answers. I will discuss with the surgeon.

    Chris

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