I need help with a common denial we keep receiving.
Case: we administered anesthesia for a CABG (00567), dx code CAD (414.01)
Patient returned to OR same day with dx description "bleeding s/p CABG".
For DX codes on the second surgery, I used 414.01 and 998.11 for bleeding, returning to OR.
Insurance company denied for service bundled in other billed services.
Should I have used dx 998.11 and V45.81 instead for second surgery?
In past history, the coder before me would simply code 998.11 and the appropriate CPT.
Another common code she used alone was 998.59 and appropriate CPT- although this is not related to the situation above
Can some one please explain this to me on how anesthesia should be billed if returned to OR for hemorrhage or post op infection and should V code always be included.?????
Thanks!
Case: we administered anesthesia for a CABG (00567), dx code CAD (414.01)
Patient returned to OR same day with dx description "bleeding s/p CABG".
For DX codes on the second surgery, I used 414.01 and 998.11 for bleeding, returning to OR.
Insurance company denied for service bundled in other billed services.
Should I have used dx 998.11 and V45.81 instead for second surgery?
In past history, the coder before me would simply code 998.11 and the appropriate CPT.
Another common code she used alone was 998.59 and appropriate CPT- although this is not related to the situation above
Can some one please explain this to me on how anesthesia should be billed if returned to OR for hemorrhage or post op infection and should V code always be included.?????
Thanks!