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Retained Surgical Clamp

mmarcum

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I have a situation that I'm not sure how to handle. Our cardiovascular surgeon performed an AAA repair and then a different doc (not with our practice) performed a ventral hernia repair. Three weeks later the patient presented to the ER with nausea and vomitting. Abdominal films revealed a retained clamp. At the end of the original AAA case, our doc states that "sponge, instrument, & needle count done". There is no such documentation for the ventral hernia repair.

Our doc was consulted after the patient was admitted for the retained clamp, nausea, & vomitting. My question is am I able to bill for this consult or would it be bundled into the original AAA repair? Thanks for any help you could offer.
 
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