CPT® Code 35860

Exploration for postoperative hemorrhage, thrombosis, or infection in the extremity involves a surgical procedure where the previously closed operative wound is reopened to assess and address complications that may arise after an initial surgery. This procedure is indicated when a patient exhibits symptoms that suggest the presence of postoperative complications. For instance, signs of hemorrhage may include a low red blood cell count, while thrombosis may present with symptoms such as pain, redness, swelling, or even shortness of breath. Infection can manifest through fever, localized redness, swelling, and tenderness at the surgical site. When conservative, non-surgical treatments do not alleviate these symptoms, the patient is taken back to the operating room for a thorough exploration of the surgical site. During this procedure, the surgical incision is carefully reopened, allowing the surgeon to inspect the area for any signs of bleeding, clots, or infection. The management of these complications may involve controlling any active bleeding through techniques such as ligation or cautery, evacuating blood clots, and treating infections by draining any abscesses. Additionally, the surgical site may be irrigated with normal saline or an antibiotic solution, and drains may be placed as necessary to facilitate healing. The final steps may involve either closing the wound or packing it with gauze, depending on the specific circumstances encountered during the exploration.