Z48. 0 - Encounter for Attention to Dressings, Sutures and Drains [Internet]. In: ICD-10-CM.
A J-P drain was inserted. How should we bill for the insertion of the drain? Ohio Subscriber Answer: The correct code is 10160 (puncture aspiration of abscess, hematoma, bulla, or cyst), and it should be associated with diagnosis code 998.13 (seroma complicating a procedure).
JP drains are often placed in wounds during surgery to prevent the collection of fluid underneath the incision site. This is a closed, air-tight drainage system which operates by self-suction. The drain(s) promote healing by keeping excess pressure off the incision and decreasing the risk of infection.
About Your Jackson-Pratt Drain Your Jackson-Pratt drain has a soft plastic bulb with a stopper and a flexible tube attached to it (see Figure 1). The drainage end of the tubing (flat white part) is placed into your surgical site through a small opening near your incision. This area is called the insertion site.
For incision and drainage of a complex wound infection, use CPT 10180. You can remove the sutures/ staples from the wound or make an additional incision to work through. The wound is drained and any necrotic tissue is excised.
Procedure codes 10060 and 10061 represent incision and drainage of an abscess involving the skin, subcutaneous and/or accessory structures.
All ostomies (including those with drains) are excluded as surgical wounds. A surgical procedure that creates a wound that is not an “ostomy”, and that has a drain (for example a Pleurx catheter, a Jackson- Pratt, etc.) would be considered a surgical wound.
Drainage can be (1) serous (clear and thin; may be present in a healthy, healing wound), (2) serosanguineous (containing blood; may also be present in a healthy, healing wound), (3) sanguineous (primarily blood), or (4) purulent (thick, white, and pus-like; may be indicative of infection and should be cultured).
A Hemovac drain (see Figure 4.3) can hold up to 500 ml of drainage. A Jackson-Pratt (JP) drain (see Figure 4.4) is usually used for smaller amounts of drainage (25 to 50 ml). Drains are usually sutured to the skin to prevent accidental removal.
Jackson-Pratt (A-1) and Blake (A-2) drains are commonly used radiopaque, silicone products for closed-suction systems. The Jackson-Pratt drain is oval-shaped with numerous orifices and intraluminal corrugations (inlay). The Blake drain has four chan- nels along the sides with a solid core center.
A Jackson Pratt drain is used to help empty excess fluid from the body after surgery. Use of a drain can help in the healing process.
Drain TypesPassive Drains. Passive drains are made of latex, polypropylene, or silastic rubber. ... Active Drains. Active drains are closed systems that collect fluid into a reservoir. ... Negative-Pressure Wound Therapy. ... Infection. ... Vascular Damage. ... Spread of Neoplastic Cells. ... Dehiscence. ... Blockage.More items...