If seen by another doctor in the group this is considered an established patient under the the post op (10 day) of the initial service. Since this is technically a complication an additional E/M charge may not be warranted. If a repeat procedure was done a -76 modifier could be added to the surgery code. A -78 modifier would not apply because the service didn't require a return to the operating room, -58 is a staged procedure which is more for something that is planned. So whether or not to bill for the E/M even with a -25 modifier could be an issue when it comes to payment as is payment for the repeat I&D.
Denise Paige, CPC-COSC
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