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The CPT® Code 26990 refers to the procedure of incision and drainage performed in the pelvis or hip joint area, specifically targeting a deep abscess or hematoma. This procedure involves making a surgical incision in the skin directly over the site of the abscess or hematoma. The incision is carefully extended through the underlying soft tissue to access the affected area. In cases where an abscess is present, the procedure includes the critical step of breaking up any loculated areas within the abscess using blunt finger dissection, which helps to ensure complete drainage. For hematomas, the focus shifts to the removal of blood clots, typically accomplished through suction techniques. Following the drainage, the cavity left behind is thoroughly flushed with either saline or an antibiotic solution to reduce the risk of infection and promote healing. This procedure is essential for alleviating pain and preventing further complications associated with untreated abscesses or hematomas in the hip or pelvic region.
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