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postop hemorrhage while in the o.r. Help??

kimcpccircc

Networker
Messages
51
Location
St Pete Beach, FL
Best answers
0
I have a patient that had a carotid endarterectomy (35301) performed and incision was closed.

Then, while still in the o.r., as they were waking the patient, she developed a large hematoma and they reopened the incision, evacuated the clot and had to suture repair a leak in the graft.

Do I charge the direct repair neck with a modifier 59? (35201)

I know there is debate on return to surgery same day, but this patient didn't make it out of the o.r.

Would appreciate any help!! Thanks
 

jewlz0879

True Blue
Messages
823
Location
Richardson, TX
Best answers
0
It is my understanding that if they did not leave the O.R. you could not bill for it but if they have left the O.R. and come back, then you can bill with a 78. I'm honestly not sure where to find this direction or a link that backs it up. If someone knows, please let us know. Or if I'm mistaken, please correct me. I do not mind constructive criticism.
 

ABridges

Guest
Messages
20
Best answers
0
Yes, you should bill for the repair.

The determination is not whether or not they have left the OR, it is whether on not the surgical site has been closed and has to be re-opened.

Without seeing the actual OP note it is difficult to say which code you should use, but I would look at 35800 as a possibility.

Hope that helps!
 
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