Wound Vac Removal and Hematoma removal for ICD pocket infection
Date: Apr 24, 2024
Question:
An ICD generator and lead were removed due to a pocket infection and a wound vac was placed. The patient was brought back in 5 days. Local anesthetic was infiltrated, and moderate conscious sedation was administered. The wound vac sponge removed. The ICD was pocket irrigated with antibiotics solution and residual hematoma removed. The wound was inspected without signs of infection. The pocket was closed with sutures. The report calls this a successful CIED pocket/wound debridement, wound vac removal. Is the closure coded 12020 or 13160 or the hematoma removal 10140, no incision is mentioned? Is the wound vac removal included in the placement?
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