In Billing
Apr 4th, 2014
Question: I have a provider who insists that the “you break it, you buy it” rule is a coding urban legend. Is this guideline supported by policy? Answer: The “you break it, you buy it” rule states that a surgeon cannot separately report (and receive compensation for treating) a complication during surgery if the complication ...
In Coding
Feb 3rd, 2014
Control of bleeding during surgery is not separately reportable if the bleeding occurs as a result of the surgery itself. Think of this as the, “You break it, you buy it” rule. For example, a surgeon injects epinephrine to control bleeding during a polyp removal (e.g., 45385, Colonoscopy, flexible, proximal to splenic flexure; with removal ...