Post T&A Hemorrhage Same Day as T&A

Anjelique

Contributor
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Location
Seattle, WA
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Can CPT 42960 (Post tonsillectomy hemorrhage) be billed same day as 42821 (T&A) if the initial surgery is documented and a separate op note entered for complication 3hrs later on the same day? How about modifiers 78 or 59? Any help would be appreciated!
 

bedwards

True Blue
Local Chapter Officer
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692
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Topeka, KS
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Have you checked CCI to see if it is allowed? If it is allowed, modifier 78 would be appropriate to identify the return to OR by same MD. I wouldmalso check with the specific payer to see how they view complications on the same day as surgery.
 
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