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However, if they are actually going into the abdominal cavity for lavage that is more than just changing a VAC dressing. Hi, It's hard to tell without the actual op notes. If so, would the correct coding be 49002-58-52? At the fifth and last session, he removed the patch, closed the fascial layer, left the subq layer open and reapplied the wound vac (97605) Could you please suggest how to code for this? Whitman patch placement. We would code 49002 (M58, M52).