Ask Dr. Z

Is it appropriate to report code 62362-52 for repositioning of pain pump since a new pocket was created? Or is our only option unlisted code 64999?  "The patient was taken to the operating room and placed supine on the operating room table. After adequate anesthesia was induced the patient's abdomen was prepped and draped in standard surgical fashion. Her old incision was opened in the left midabdomen. A pocket was then formed above the level of the fascia inferiorly. Dissection then was carried over superior and medial to the location of the current placed on. This was dissected free circumferentially from the soft tissue and fascia until free. There was a small fascial defect was repaired using 0 Polysorb in figure-of-eight fashion. The pump was then re\re located left midabdomen the same incision. Secured on all 4 corners with oh Surgilon. The wound is then closed in two layers using running 2-0 Polysorb and 4-0 Polysorb on the skin. Steri-Strips were placed as a dressing the patient returned to the recovery room in satisfactory condition."