evacuation of hematoma

i have a patient that had a marsupialization of bartholin cyst done and while in the recovery room formed a hematoma at the site. the doctor took the patient back into surgery and evacuated the hematoma and resutured the marsupialization. what CPT® code would i use for the second surgery. also would i use modifier 78. thank you

re: evacuation of hematoma

The problem is the patient was still in recovery room so many payers may consider just an extension of original surgery. If significant work was involved, maybe a -22 on original surgery code. I'm sure there will be several options based on payer interpretation. CPT® 10140 describes an I&D of hematoma. Some may not pay as it could be considered an iatrogenic complication. The CCI general guidelines for Surgery state "Treatment of an iatrogenic complication of surgery is not a separately
reportable service". Marsupialization of Bartholin Cyst is a surgical process that involves making a slit on the cyst and stitching the edges of the incision. This creates a permanent opening that lets the cyst drain freely. What was the site of service?

re: evacuation of hematoma

thank you for such a quick responce. the procedure was performed at norwin surgical center. off-site surgi center