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Wiki Vasectomy surgical post-op period

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SienTC1720

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I code for a general surgeon who often does in-office vasectomies. We recently had a patient come back in who still has a VERY high sperm count, and may have to have the procedure re-done. This appointment being 4 months after the original surgery.

My question is, is this now an E/M visit, or would it still be a post-op, and could we charge something for it?
 
As long as he had a postop visit during the 90-day postop period, then I would go ahead and bill for the visit along with the failed vasectomy dx code (N99.89). If this is his first visit with the physician after the procedure, then I would include it as postop.
 
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