Forum - Questions & Answers

May 27th, 2015 - kjstremont1 7 

Blood clot removal following Excision of basal cell carcinoma

Our physician did an excision for a basal cell carcinoma of the face. The patient had some complications with healing & 10 days later the patient had a blood clot removed by one of our docs because the wound wasn't healing properly. How do I code the blood clot removal from the wound? This is a Medicare patient. I appreciate any help!

May 27th, 2015 - petunia 195 

re: Blood clot removal following Excision of basal cell carcinoma

How about 10140-78?

The physician makes an incision in the skin to decompress and drain a hematoma, seroma, or other collection of fluid. A hemostat bluntly penetrates the fluid pockets, allowing the fluid to evacuate. A latex drain or gauze packing may be placed into the incision site. This will allow the escape of any fluids that may continue to enter the pocket. A pressure dressing may be placed over the region. Any drain or packing is removed within 48 hours. The incision can be closed primarily or may be left to granulate without closure.

May 27th, 2015 - kjstremont1 7 

re: Blood clot removal following Excision of basal cell carcinoma

Thank you very much! The dr was wanting to bill a thrombectomy code & I knew that wasn't correct. This makes more sense!



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