CPT Knowledgebase - Sep 25, 2020

A trauma surgeon urgently took a hemodynamically unstable patient to the operating room due to profound intra-abdominal hemorrhage. After midline entry with fresh pooling blood, the surgeon discovered a Grade III-IV liver laceration, through and through gunshot wound to the transverse colon and Grade IV capsular tear of the spleen. The surgeon packed the liver and performed a hemicolectomy and a splenectomy. The surgeon then removed the liver packing, used nonabsorbable suture, Bovie coagulation, and hemostatic agents to repair the liver, and then repacked the liver. The plan is to return to the operating room in 24 hours to remove the packing and re-explore the liver. What code should be reported for management of the liver hemorrhage?

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