Wiki Post T&A Hemorrhage Same Day as T&A

[Anjelique]

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]

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.