sadieandbrian
Networker
Wondering if I can please get some guidance on the following as I've never ran into this before and am unsure how to handle.
First...
We have a patient that went in for a reverse total shoulder arthroplasty (23474).
During surgery there was an intraoperative humeral shaft fracture.
The provider lists the total shoulder arthroplasty and ORIF of humeral shaft fracture.
Are these separately billable? Or is the fracture repair included since it was an intraoperative complication?
Second...
The same patient was taken back in for surgery the following day because of Interval loss of fracture reduction.
The provider lists Revision, ORIF, left humerus and Revision of humeral bearing component.
I'm really struggling with it and probably over-thinking it, so any guidance is much appreciated. Thank you!
First...
We have a patient that went in for a reverse total shoulder arthroplasty (23474).
During surgery there was an intraoperative humeral shaft fracture.
The provider lists the total shoulder arthroplasty and ORIF of humeral shaft fracture.
Are these separately billable? Or is the fracture repair included since it was an intraoperative complication?
Second...
The same patient was taken back in for surgery the following day because of Interval loss of fracture reduction.
The provider lists Revision, ORIF, left humerus and Revision of humeral bearing component.
I'm really struggling with it and probably over-thinking it, so any guidance is much appreciated. Thank you!