It has always been (as far as I recall) a big no-no to bill for additional surgery needed to fix an incidental puncture created by the surgeon. "You cannot bill for fixing what you broke" (so to speak). My issue right now is I cannot find anything in writing that backs that up. If anyone can give me a link or send me in the right direction I would greatly appreciate it. I have checked CMS, Novitas and did a general internet search. All I come up with is how to properly use the diagnosis code showing that an incidental puncture was made.

Thanks much!