tci General Surgery Coding Alert - 2001 Issue 12

Reader Question: Insertion of J-P Drain

Question: The patient had partial mastectomy with axillary lymph node dissection. Six months later, she returned to see the surgeon with a persistent seroma. A J-P drain was inserted. How should we bill for the insertion of the drain?Ohio Subscriber Answer: The correct code is 10160 (puncture aspiration of abscess, hematoma, bulla, or cyst), and it should be associated with diagnosis code 998.13 (seroma complicating a procedure). In this case, no incision and drainage was performed. If the surgeon had to make an incision to drain the seroma, however, the procedure would be coded 10140 (incision and...

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