Wiki Medicare Misadventure Case Billing

[caromissunc1]

Pt. was undergoing hemorrhoidectomy using PPH stapler, when the stapler malfunctioned and her rectum was accidently stapled shut. Apparently a resection/repair was not a possibility in this case, and the pt. was sent emergently to a tertiary hospital where more advanced care was administered.
I have come up with the diagnosis codes: 455.0, 455.3, 997.99 and E876.8. CPT code 46947.
My question is, should I use a modifier 52? 53? Or should I even bill Medicare at all?
Could anyone direct me to Medicare's policy/guidelines with regards to this scenario?

 

[coachlang3]

I'm curious if you were able to find anything on this?

I would've thought a 53 modifier would have sufficed.

 

[pwright3603]

I agree, modifer 53 should be used.