Overview of CPT Code 10140: Incision and drainage of hematoma

Overview of CPT Code 10140: Incision and drainage of hematoma

CPT Code 10140 refers to the surgical procedure for incision and drainage of a hematoma, which is a localized collection of blood outside of blood vessels, typically caused by trauma.

When CPT Code 10140 is Used?

This procedure is indicated in various clinical scenarios.

• Large hematomas causing significant pain or discomfort.
• Hematomas that are not resolving on their own.
• Signs of infection in the hematoma area.
• Hematomas located in areas where they may compress nerves or blood vessels.

Symptoms Indicating This Procedure

Patients may report several symptoms that suggest the need for this procedure.

• Swelling and tenderness in the affected area.
• Pain that worsens with movement.
• Redness or warmth over the hematoma.
• Limited range of motion in the surrounding area.

Causes and Risk Factors

Understanding the causes and risk factors can help in prevention.

• Trauma or injury leading to blood vessel rupture.
• Certain medications that affect blood clotting.
• Underlying blood disorders.
• Increased physical activity or sports injuries.

Diagnostic Tests Before Procedure

Several tests may be conducted to confirm the need for drainage.

• Ultrasound to assess the size and extent of the hematoma.
• CT scan for deeper hematomas or those in complex anatomical areas.
• Blood tests to evaluate clotting function.

Procedure Description

The procedure is typically performed under local anesthesia.

• The area is cleaned and sterilized.
• Local anesthesia is administered.
• A small incision is made over the hematoma.
• The hematoma is drained of blood and any clotted material.
• The incision may be packed with gauze to facilitate further drainage.

Preparation for the Procedure

Patients should follow specific guidelines before the procedure.

• Avoid blood-thinning medications as advised by the physician.
• Inform the doctor of any allergies.
• Arrive with a responsible adult for post-procedure transport.

Recovery and Aftercare

Post-procedure care is crucial for healing.

• Rest and limit physical activity for a few days.
• Keep the incision clean and dry.
• Follow up with the healthcare provider as scheduled.
• Take prescribed pain medications as needed.

Possible Complications

While generally safe, there are potential risks.

• Infection at the incision site.
• Excessive bleeding.
• Nerve damage in the area.
• Recurrence of the hematoma.

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Post-Procedure Follow-Up

Regular follow-up is essential for monitoring recovery.

• Initial follow-up within 1 week post-procedure.
• Further assessments as needed based on recovery progress.
• Monitoring for signs of complications.

Alternative Treatments

In some cases, conservative management may be appropriate.

• Observation for small, asymptomatic hematomas.
• Ice application to reduce swelling.
• Pain management with over-the-counter medications.

Home Care Tips

Patients can take steps to aid recovery at home.

• Keep the affected area elevated to reduce swelling.
• Apply ice packs intermittently for the first 48 hours.
• Monitor for any signs of infection, such as increased redness or pus.

Patient Education & Prevention

Educating patients can help prevent future occurrences.

• Wear protective gear during sports or high-risk activities.
• Manage underlying health conditions that may increase bleeding risk.
• Seek prompt medical attention for any significant injuries.

Billing and Coding Information

CPT Code: 10140

Category: Surgical Procedures

Common Modifiers:

• 50 - Bilateral procedure
• LT - Left side
• RT - Right side

Average Cost and Insurance Coverage

Costs can vary based on location and insurance.

• Average cost ranges from $500 to $2,000.
• Most insurance plans cover the procedure if deemed medically necessary.

Related CPT Codes

• 10060 - Incision and Drainage of Cutaneous Abscess
• 10061 - Incision and Drainage of Skin Abscess
• 10180 - 'Incision and drainage of pilonidal cyst'
• 10160 - 'Puncture aspiration of cyst'

References and Sources

• American College of Surgeons
• Mayo Clinic - Hematoma
• MedlinePlus - Incision and Drainage