CPT Knowledgebase - Oct 3, 2024

A patient underwent a mastectomy and sentinel lymph node biopsy for carcinoma in situ of the left breast. The evening of the surgery, the patient developed severe swelling, pain, and ecchymosis over the left chest wall with copious bloody drainage in the closed suction drain. An examination showed a postmastectomy hematoma requiring surgical evacuation of the hematoma by the same surgeon in the operating room that night. What would be the appropriate code to report for the second operation?

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