Ask Dr. Z

We code facility and pro-fee. Patient had a port-a-cath placed two days prior. Primary physician (Team 1) went back in to inspect for hematoma and remove gel foam. She dissected "down the cavity" and evacuated a small, old hematoma, removed the gel foam, and examined the entire cavity, trimmed the port catheter, resecured it, and closed the incision. During this operative session our vascular surgeon (Team 2) was called in to examine the wound cavity, but he didn’t do anything. “Upon opening of the wound, there was a little bleeding from the surrounding muscle, but no signs of vessel injury or a hematoma. Pressure was placed on the wound without any expression of hematoma. There were several pieces of gel foam seen in the cavity, which could have been the cause of surrounding inflammation. The wound cavity was examined by vascular surgery, and no significant sources of bleeding or hematoma were noted. The primary team tested the port-a-cath to verify it was patent and functioning well. Team 1 closed the wound." Would this be 36597-62? 36576-62? 37799?