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HELP !!!! THR with draining seroma

1-15-19: Pt. underwent right total hip replacement.
2-21-19: Taken back to OR with "draining seroma." Dr. exchanged right total hip femoral ball and polyethylene liner and performed extensive lavage of wound with insertion of antibiotic beads.

Do I bill 27030 or 26990 ? Would DX be M96.840, Z96.641 ??

I’ve spent all day on this and have even entertained 27134 – 78, 52

Can anyone help? I feel ridiculously stupid !!!!!

THANKS!!!!!

Medical Billing and Coding Forum

CPT code for endoscopic drainage of seroma

ENDOSCOPIC ULTRASOUND: Olympus linear echoendoscope was lubricated
and advanced into the hypopharynx. The scope was passed through the
esophagus into the stomach.

An anechoic structure was seen presumably gastric wall.

A #15 mm fully covered Axios hot stent was deployed. Clear fluid was
aspirated.

Please suggest CPT code as per the above details.

Medical Billing and Coding Forum

postoperative seroma

Hi, was wondering whether or not billing for a postoperative drainage of a seroma in the 90 day global after a Parotidectomy is allowed. It’s not really a complication, rather a risk of the surgery. I was thinking 10160 with a 79 modifier. Any thoughts? The Dr. I work for is now looking into injecting Botox into this area as he has had to have it drained a couple of times. I would appreciate any help!

Medical Billing and Coding Forum