Incision and drainage of hematoma, seroma or fluid collection

CPT 10140 is the billing code for "Incision and drainage of hematoma, seroma or fluid collection". Incision and drainage of hematoma, seroma, or fluid collection

Medicare pays approximately $164.64 for CPT 10140 (national average). Actual payment varies by geographic location due to GPCI adjustments. Hospital and commercial insurance rates are typically 2-4x higher than Medicare rates.

CPT 10140 has a total RVU of 1.61, broken down as: Work RVU 0.75, Practice Expense RVU 0.80, and Malpractice RVU 0.06. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 10140 include: Location of hematoma/seroma documented; Method of drainage documented; Amount of fluid drained documented; Patient response to treatment. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 10140: Includes drainage of hematoma, seroma, or fluid collection. Includes local anesthesia Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 10140 include: 59 (Distinct procedural service when multiple procedures performed), 78 (Unplanned return to operating room). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

The typical time requirement for CPT 10140 is Typically 15-30 minutes. Time-based codes require documentation of the actual time spent providing the service.