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Wiki Decision for surgery "57" question.....

sammartin92472

Networker
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Spartanburg, SC
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I have a patient who had a major procedure and two days later developed a complication that required a return to the OR for another major procedure. My question is if the E&M performed the day the decision to return to the OR can be billed with a 57 and separately reimbursed or if it is considered part of the global of the 1st procedure and not reimbursable.
 
Only the surgical treatment in the OR for the complication can be billed. E&Ms is bundled. Think of it this way, the E&M is not done in the OR so its part of the global period of the prior surgery.
 
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