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Wiki surgery help

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bmyers

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I need some help on this surgery. Pt came in for incisional hernia repair, while going in provider runs into a lot and I mean a lot of adhesions (22 mod) on proc. So while taking down the adhesions he lacerates the bowel x4. I cant bill for that am I correct? Plus he also nicked the rectum. Like I said the adhesions were that bad.
My question: Since he lacerated the bowel trying to go into the abdomen can I bill for the repairs?

Your thoughts please!!!

Thanks
 
No if he caused the complications can't bill for them. However, if he dictated time on the lysis of adhesions you could put a 22 modifier and sent a note with op explaining why.
 
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