Cardiology Question for the Week of January 11, 2016

Question:

Question 

The cardiologist opens up an existing implantable cardioverter-defibrillator (ICD) pocket, drains some clear blood-tinged fluid, irrigates the pocket and then closes the pocket. I cannot find a code for the pocket-seroma drainage. Should I use an unlisted code for this procedure?

Answer

Guidelines in the CPT book at the beginning of the pacemaker/ ICD section tell us to use 10140, 10180, 11042, 11043, 11044, 11045, 11046, 11047 as appropriate for incision and drainage of a hematoma or complex wound infection of a pocket.

Incision and drainage of a seroma is 10140. The fact that the seroma is in an ICD pocket makes no difference.  

10140Incision and drainage of hematoma, seroma or fluid collection

Answer: