Jul 10th, 2019
AAPC’s New York City Regional Conference (Aug. 19-21) is the place to be for everyone on the revenue management side of healthcare; it provides the latest education, networking, vendors, and opportunities to keep you ahead of other healthcare business professionals. If you are a medical coder, biller, or auditor, you’ll find it’s a treasure trove of career resources ― all ...
Be sure it’s a new condition and related to the original surgery, not the underlying condition. By G.J. Verhovshek, MA, CPC If the same provider returns a patient to the operating room (OR) during the global period of a previous procedure to treat a complication of that earlier surgery, append modifier 78 Unplanned return to the ...
In CMS
Jul 18th, 2014
Medicare rules for treating complications during the postoperative period differ from CPT® guidelines. Specifically, to separately report treatment of complications to Medicare payers, that treatment must meet one of two conditions: 1. If the provider treats the complication during the initial procedure, the complication must entail treatment demonstrably in excess of that usually required for ...
In Coding
Dec 2nd, 2013
When coding for surgical complications, report the code for the complication first, followed by any additional diagnosis code(s) required to report the patient’s condition. For instance, suppose a patient has postoperative bleeding. An exploratory laparotomy reveals that the source of the bleeding is a tear in the splenic capsule. In this case, you would report ...
Oct 1st, 2012
By Wendy Grant, CPC There is no quick way to code an operative (op) report. You must read and reread—think dissection—to be sure your coding reflects all the procedures and diagnoses performed. Code from the Body of the Report To code only the “preoperative diagnosis, postoperative diagnosis, and operation performed,” listed at the beginning of ...