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Third surgeon doing emergency flap procedure

  1. Default Third surgeon doing emergency flap procedure
    Medical Coding Books
    Surgeon #1 and Surgeon #2 removed the hardware from a patient's total knee replacement done one week previously because of a post-op wound infection, and did a repeat total knee replacement. When attempting to close the wound, they were unable to do so, and therefore, Surgeon #3 was called in to perform a flap procedure (15738). He performed this without any assistants.

    Do we need to code Surgeon #3's procedure with any modifiers?

  2. #2
    Milwaukee WI
    Default Will he provide post-op care?
    If Surgeon # 3 is not going to provide post-op care, then use mod -54.

    F Tessa Bartels, CPC, CPC-E/M

  3. Default
    No...he is not going to be doing any post-op care.

    Because the flap surgery is being done within the same surgical session as the total knee replacement (albeit by a different physician), would there be a need for a mod -62 as well? If that's the case, does the surgeon that did the TKR also bill for the flap with a -62, even though he did not take part in that procedure?

    Thank you very for much your help and response!!

  4. #4
    Milwaukee WI
    Default NO Mod 62 on flap
    Without having all the op reports it's a little difficult to tell, but I think the following might accurately code what happened. ..

    There is NO co-surgery involved in the flap. Surgeon # 3 is basically doing the closure for the other surgery ... in this case a flap was required. Just code the flap w/ -54 mod for Surgeon # 3. Surgeon # 1 and # 2 will code the knee replacement, etc with mod -62.

    F Tessa Bartels, CPC, CPC-E/M

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