Hi. The way I understand it, if the complication results in the patient returning to the OR, then you can bill for the subsequent surgery with modifier 78. The diagnosis for the second surgery would be your complication. The global period for the original surgery includes any E&M services regardless of complications. The only way you could bill for an E&M would be if the diagnosis was totally different (example: Patient had surgery for distal radius fracture. during the global period, the patient stubbed and fractured his toe. He happens to see the same provider who performed the original surgery. The provider could charge for the E&M service with modifier 24 and use the diagnosis for the fractured toe.)
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