Ask Dr. Z

Would you assign codes 20500, 76080, and 77002 for a sclerosing of an inguinal seroma? Here is the procedure: "The inguinal seroma catheter was carefully identified under fluoroscopy and the inguinal site sterilely prepared. Through the catheter, contrast injection identified the size and distribution of the catheter. There was no evidence of extravasation or communication with adjacent vascular structures. The catheter was then aspirated and filled with a small dilution of doxycycline for an interval of time. This was subsequently aspirated and put the bulb suction. Impression: Successful inguinal seroma cavity fluoro injection identifying no communication with adjacent structures. This was subsequently infused with doxycycline to help promote sterilization and sclerotherapy of the cavity. The catheter was removed."