Wiki Evacuation of retroperitoneal hematoma

[KaylaRieken]

Help please!! My physician did an open radical right nephrectomy but also evacuated a retroperitoneal hematoma. I am having a hard time finding this in the book. Any help would be greatly appreciated.

Thanks.

 

[csperoni]

My understanding is the evacuation of hematoma is included in the surgery. If justified by the procedure and documentation, you could consider -22 on the primary. That is how I have coded in the past, unless it was a return to the OR or something like that.
If anyone has any differing advice, feel free to chime in!!

 

[KaylaRieken]

I was thinking to myself it could just be included with the procedure but I wasn't sure.