Wound dehiscence several hours after Cholecystectomy with repair

[lorraine crumpler]

I need some help please.......

Pt had cholecystectomy 1/21/XX in the morning CPT 47562, no complications, then later that same day the surgeon was called back to see the Pt as the Pt was up walking around and heard a pop in one of the abdominal incisions. The provider did a bedside ultrasound and found that a suture in the fascia broke open so the provider in the Pt's room, opened up the incision down to the fascia and re-sutured the dehiscence of the abdominal fascia. Provider put in one figure-of-eight suture.

I am not sure this should be coded as an additional charge. Any advice would be much appreciated on this matter.

 

[csperoni]

A complication that does not result in a return to the OR is not billable. If the procedure had been done in the OR, would be billable with -78. If done in the room, it is part of the global surgery package. See page 6.

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/GloballSurgery-ICN907166.pdf

 

[lorraine crumpler]

A complication that does not result in a return to the OR is not billable. If the procedure had been done in the OR, would be billable with -78. If done in the room, it is part of the global surgery package. See page 6.

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/GloballSurgery-ICN907166.pdf

Thank You...….I did not think it could be charged.