Nancy Posted Wed 24th of March, 2010 13:04:01 PM
A patient was seen after having a repair of a left inguinal hernia. He comes back for a post-op and is found to have a seroma. The doctor under sterile technique aspirated the seroma from the left groin incision. About 40 cc of thin bloddy fluid was aspirated. The doctor wants to bill a 10060 which I think is wrong & that he needs to billcpt code 10160 even though the cpt code description states puncture aspiration of abscess, hematoma, bulla or cyst. Is this correct? Thanks
SuperCoder Answered Wed 24th of March, 2010 13:42:13 PM
Yes, in this case you are correct to bill CPT 10160 for seroma aspiration. I have checked the LCD of some of the states and found that seroma is covered in this scenario. But before filling this claim please do check the Global period of inguinal hernia repair which are generally 90 days and if applicable do append a valid modifier.